Aligned Living Retreats Application Name * First Name Last Name Email * Phone * Country (###) ### #### Communication Preference * Check one Phone Text How Did You Hear About Us? * Check one Facebook Instagram Email A Friend/ Word of Mouth Other Which retreat experience are you desiring to apply for? (Check all that apply) * Aligned Living Emersion Please tell us about yourself and give us a greater understanding of your "Why" for applying for this experience and why now is the right time for you. * Please tell us about your personal development journey and any inner work that you have been a part of in the past. (Retreats, Healing modalities, Courses, etc) * What are any traumas or healing experiences you are seeking support on, as well as any physical symptoms or issues. Tell us about your desires and what you feel the most excited about in life. This could be what you consider your purpose, what is calling you forth to expand into, or lights up your soul. * * Are you ready and willing for investing in yourself with the time, effort, energy, and financial commitment to dive into your healing, Aligned Living Journey? YES! No * What is your current financial position? I have resources to invest in myself now. Strongly Disagree Disagree Neutral Agree Strongly Agree I have access to resources to invest in myself now. Strongly Disagree Disagree Neutral Agree Strongly Agree I do not have the resources at this time. Strongly Disagree Disagree Neutral Agree Strongly Agree Note: Upon hitting the Submit Button below, you will be redirected to a calendar link to schedule a 30 minute zoom call with one of our team members to discuss all the details of the retreat experience and answer any questions that you may have. We look forward to connecting with you soon! Thank you! We look forward to speaking with you.