Name *

First Name

Last Name

Your phone number with country code (the same one you will use to register via WhatsApp in our private support group) *

(###)

###

####

Are you willing to commit to the deep level of emotional, spiritual and physical healing in this retreat? *

Yes

No

Please choose your accommodation package *

Private King Suite Cabin 1 woman or shared with a friend (King bed)

Private King Suite Casa 1 woman or shared with a friend (King bed + couch)

Shared King Suite Casa (two king beds)

Shared jungle cabin shared with a friend (1 king bed 1 double loft bed)

How would you like to secure your booking? *

Pay in full immediately

Payment Plan ($1,500 due upon registration) then make two payments 30 days and 60 days after first payment.