Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Date of birth MM DD YYYY Tell us a little about yourself What draws you to this retreat? Are you ready and willing to have a digital detox on retreat? To give yourself the gift of fully unplugging we encourage you to put your phone on airplane mode during the duration of the retreat What is your comfort level with the ocean? Do you get sea sick? Would you be attending solo or with someone? Thank you for your interest in this incredible nature immersion experience. Be on the lookout for an e-mail from me with next steps!Warmly,KT Payment and retreat details to follow upon registration
