Puerto Rico Sanctuary Application ...

Sanctuaries Retreat Application

First Name

Last Name

Age

Phone Number

City/town and country of residence

Select a start date for your retreat

Select end date for your retreat

Please detail your anticipated arrival and departure time.

Tell us what kind of retreat you're planning and what is motivating you?

If yes, please select the form(s) of support you wish:

Intuitive Meditation Workshop with Jeremy

Authentic Expression and Relating Workshop with Jeremy

Life Alignment Support Workshop with Jeremy

The Way of the Heart Workshop with Jeremy

Energetic Alignment support with Madeleine

Help Designing Your Retreat

Meal Service (you can select the frequency)

Childcare

Anything you wish to add?

Thanks for applying! I may request a call for further information. Otherwise you will receive an email confirmation. If your application is approved, please do your best to honor this commitment, either through attendance or providing advance notice of cancellation. If your application is not accepted you are more than welcome to request a phone call for clarification.