Micro Retreat Application | Sentido Somatico

Application Form

Please take a moment to answer the questions below. We will personally review your application and get back to you.

Full Name *

Email Address *

Phone Number *

Date of Birth *

Why would you like to participate? *

What is currently moving you in your life?

Declaration

I understand that this retreat is a consciously designed experiential space and does not constitute medical, psychotherapeutic, or therapeutic treatment. No diagnoses will be made.

I participate at my own responsibility and will inform the facilitators of any relevant health conditions.

By booking, I acknowledge and accept the Terms and Conditions of Sentido Somatico. The full Terms and Conditions are available on our website and can be accessed at any time. By signing this declaration, I confirm that I have had the opportunity to review the full Terms and Conditions on the website.

I agree. You must accept this declaration to continue.

Date

Signature