Registration Name * First Name Last Name Phone * (###) ### #### Email * Are you above the age of 18 years old? * Yes No What is your social media? * How did you hear about us? Do you have a current passport? * Yes No, I will obtain one Have you ever traveled outside the Country? * What is your intention for this Retreat? * Are you taking any Prescription Medication? * Yes No Please list them Do you have any medical conditions or health concerns we should be aware of? * Do you have any Dietary Restrictions or Allergies * Dietary Preferences Vegetarian Vegan Gluten Free No Preference Emergency Contact * First Name Last Name Phone * (###) ### #### Would you like to request a Connection Call? Yes ** For any questions about room details text or call JP @ 407.279.7444 ** Room Options Dorm Style (6-8 people in a shared space) $1555 Private Room $2255 (private living quarters with possibility of a shared bathroom) Private Room (shared space with either two twins or a queen) $1777 each Private Room (shared) Paid together $3554 If requesting a private shared space, what's your partners name? Payment Pay in Full Downpayment of 50% plus two scheduled payments of 25% each **Request for payment will be made once Registration and Liability Waiver are completed** Would you like to add an optional embodiment portrait session? $111 Investment Includes up to 20 min of shooting 5-10 edited images (online gallery & download of high resolution images) Yes Do you have any comments, questions, or concerns? Thank you! Please review and sign the Liability Waiver.
