AOL (NY USA) Application Form

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Awakening of Love USA 
Application Form

Thank you for your interest in the Awakening of Love introductory retreat, and welcome to the enrolment process for USA.

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*

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 important to answer all questions honestly in order for us to help you decide if Awakening of Love 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 read and accept the following Terms & Conditions and Process Ground Rules. They are the specific terms, conditions and rules applicable to our agreement concerning your participation in the event. Click here to view our Terms and Conditions.

I represent that all of the information provided in this Application is true and correct to the best of my knowledge, and is being relied upon by POL Global Foundation Ltd in deciding my acceptance into this event.

From time to time, we would like to contact you to share inspirational ideas, exclusive retreat offers and practical advice for finding joy, as well as other content that may be of interest to you. Please tick the box below to join our mailing list:

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You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

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.

Awakening of Love USA Application Form

Awakening of Love USA 
Application Form