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Retreat Application

We’re honored you feel called to explore this journey.
Your application helps us ensure the retreat is a safe, supportive, and aligned environment for you.
Image by Sebastien Gabriel

A Gentle First Step

The application process exists to ensure mutual fit, safety, and clarity — not to evaluate belief or worthiness

 

All information is confidential and used only to support your retreat experience.

 

Please fill out the form below with honesty and care.

We review every submission personally and will reach out with next steps.

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Personal Information

Preferred Method of Contact

Retreat Preferences

Which retreat are you applying for?
Have you attended a retreat before?
Yes
No
How did you hear about Casa de Vida Nueva?
Referral
Social media
Website
Friend or family
Other

Your Intention

Your Intention Matters

Health & Safety Screening

Your safety is sacred!

These questions help us provide a safe and supportive environment.

Please answer honestly. Your information is confidential.

Physical Health

Have you ever experienced any of the following?
Are you currently taking any prescribed medications?
Yes
No

Mental & Emotional Health

Have you ever been diagnosed with a mental health condition?
Yes
No
Are you currently seeing a therapist, counselor, or psychiatrist?
Yes
No
Have you experienced any major emotional events recently?
Do you feel emotionally stable enough for a retreat at this time?
Yes
No
Unsure

Substance Use & Safety

Do you currently use alcohol, recreational drugs, or plant medicines? (Optional reply)
Yes
No
Have you previously participated in guided ceremonial or indigenous-style retreat experiences?
Yes
No

Participation Preferences

Your comfort comes first

Are you comfortable participating in optional breathwork?
Yes
No
Unsure
Are you open to optional sacred or traditional elements of the retreat experience, if appropriate for you?
Yes
No
Maybe
Do you understand spiritual elements may be present but are never imposed?
Yes
No
Would you like optional spiritual encouragement or insight during the retreat?
Yes
No
Maybe
Do you prefer a quiet, introspective retreat or a more supported/interactive experience?
Quiet & reflective
Supported & guided
A blend of both

Practical Needs

Do you have mobility limitations we should be aware of?
Yes
No

Final Reflection

Before You Submit

What Happens Next

After You Apply

Once we receive your application, our team will review it personally with prayerful care and reach out with one of the following:

  • Approval to attend

  • Follow-up questions

  • Recommendations for preparation

  • A phone/Zoom consultation if needed

  • Guidance on choosing the right retreat

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Your safety, readiness, and comfort are always our top priority.

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Questions?

We’re Here to Help

If you have any questions before submitting your application, feel free to reach out anytime. We’re honored to walk with you.

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