Fall 2026 Embodied Retreat Registration

3-Night Embodied Retreat at The Horse Shoe Farm in Asheville, NC

Contact Information

First Name

Last Name

Phone Number

Emergency Contact Information

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Number

Getting To Know You

What inspired you to join this retreat?

What are you hoping to gain or experience during the retreat?

Are there any particular challenges or areas of your life you'd like to explore or work through during the retreat?

Do you have any medical conditions or physical limitations we should be aware of to ensure your safety during the retreat (e.g., injuries, chronic conditions)?

Do you have any dietary restrictions or allergies? If yes, please explain.

Have you participated in similar retreats or workshops before? If so, what was your experience?

Accommodations

Our Embodied retreat locations and accommodations are carefully selected in order to provide a fully immersive experience. Space and options for accommodations are limited, and we will do our best to accommodate your first choice. If your first choice is not available, our Enrollment Coordinator will be in touch with you to offer other availability.

What is your first choice for accommodation below?

Authorization and Release

Is it okay to share your contact information with other participants for connection and community-building purposes (e.g., shared rides, support group)?

YesNo

Do you give consent for photos/videos to be taken during the retreat for promotional purposes?

YesNo

Deposit

Upon submitting this form, you will be redirected to the deposit payment page. Your registration is not confirmed until deposit payment has been made.

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