Solo Bend Retreat:

RESERVATION FORM

NAME

First Name

Last Name

I doubled checked my email and it's correct

PHONE

Please include country code

Country

(###)

###

####

What time of year are you hoping to retreat?

I can send you some possible dates

Would you like to come for a few days, a week or a month?

Are you interested in nervous system regulation support with me in addition to your retreat or do you prefer to be entirely self-led in your retreat? Either is just fine!

What is inspiring you to come to my little retreat refuge cottage in particular?

Any intentions you'd like to share about your retreat?

Could be anything from Netflix and chillin to writing your memoir to napping to sitting in meditation to supporting a deep healing process or all or none of the above!

Please note: Once you submit, I will get back to you usually within a few days and if it feels like a good fit, we can connect on a call together to craft the retreat so it's uniquely suited to you and what you'd love to have happen. I can be completely hands-off or a little hands-on depending on what might feel most supportive to you and your process!