Advanced Retreat Application Form

Application

Consultation

Retreat

Advanced retreat 
Application Form

Please complete this brief application form to reserve your place on this advanced retreat.

Your Details

Email address

Phone Number

First Name

Last Name

Preferred Name

Date of birth

Nationality

Gender*

What pronouns do you use?

Occupation*

Street address

State/Region/County*

Postal Code*

Country*

Preferred language*

When and where did you do Path of Love?*

Tell us more

Please answer the following questions. Your answers will be read by the organizer and the process leaders and will be kept confidential. It is an important to answer all questions honestly in order for us to help you decide if Walking the Path is an appropriate group for you. Thank you.

1. Please list the personal growth work you have participated in including therapy groups, spiritual retreats and individual therapy.*

2. Briefly write about why do you want to do this workshop?*

3. Do you have any physical disabilities or limitations due to injuries, disease, condition, surgery, or congenital conditions? If so please give all important details, dates, current condition, medications, and/or special requirements.*

4. Do you have any special dietary needs or allergies we should be aware of?

e.g. gluten free, vegan, no dairy etc. For residential retreats only. Please be specific.

5. Anything else that you would like us to know?

Please attach a photo

Please make sure the photo is just of you, without your family, friends or pets. Thank you.
One file only.
16 MB limit.
Allowed types: gif jpg jpeg png.

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By clicking submit below, you consent to allow Path Retreats to store and process the personal information submitted above to process your application and retreat experience.

Advanced retreat Application Form

Advanced retreat 
Application Form