Retreat Application Fom
NewEarth Journey — Retreat Application
Newsletter
Which Retreat Are You Applying For?
-Select Retreat-
Bacalar, Mexico
Sedona, Arizona
First Name
Last Name
Email Address
Phone Number
City, State/Country
What inspired you to apply for this NewEarth Retreat?
What is calling you to this experience at this point in your life?
What do you hope to receive, discover, or experience during the retreat?
Have you attended a NewEarth event or retreat before?
Yes
No
If yes, which one(s)?
Which accommodation do you prefer?
Private Suite
Shared Suite
Either option is wonderful
Would you be attending with someone specific?
Yes
No
Please provide their name.
Do you snore while sleeping?
Yes
No
Occasionally
I'm not sure
Do you have any dietary preferences or restrictions? (Check all that apply)
Vegetarian
Vegan
Gluten Free
Dairy Free
Nut Allergy
Seafood Allergy
Other
Is there anything we should know to make your dining experience more enjoyable?
Do you have any mobility considerations, medical concerns, or accessibility needs you'd like us to be aware of?
What gifts, talents, or perspectives do you enjoy sharing with others?
Is there anything else you'd like us to know about you?
What does "New Earth" mean to you?
Submit Application