Congratulations! 🎉

We commend you for investing in yourself when you’re busy investing in others! Committing to taking time to refill your own cup so you can better fill others is something to be proud of! This retreat is focused on intentionality and we want to get to know YOU better so we can specifically cater to your personal needs. Take a breath, fill out this form, and know the best weekend of 2024 is on your calendar!

Name

First Name

Last Name

Phone

(###)

###

####

Birthday

YYYY

IG Handle

Can we tag you on IG?

Yes

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tell us about all the hats you wear.

Tell us about your family.

Tell us about your career.

Tell us about your overall health - mental, physical, spiritual, nutrition and sleep habits.

Why did you want to come on The Pause Retreat? What about this experience appealed to you?

If there was one thing you could change about your life right now what would it be:

Any dietary restrictions or specific accommodations we need to know about?

Do you have any resources you love? (on life, career, wellness, whatever - podcasts, books/authors, social influencers, your friends/family, we want to know what type of content you love to absorb the most):

Are you coming with a friend or by yourself? If so what is their name?

Do have a religious affiliation? If so, which one?

How did you hear about the retreat?

Anything else we should know?

Travel Insurance

I understand that my registration is non refundable. I understand that if I can't attend for any reason, my registration can be passed to another woman on the waiting list, in which I will either gift or sell to them on my own, or I will purchase travel insurance to cover any lost cost. Travel insurance is to be purchased on your own, through your own vendor if you choose.

Yes, I understand.