Nonrefundable Agreement *

I understand that this retreat is completely non-refundable. Purchasing trip insurance is the safest way to secure your investment, in the event you need to cancel. No Exceptions! If governmental travel bans are executed, payments will be applied to a future date. If a new date is not acceptable, you are free to cancel. No refunds . Trip insurance is highly encouraged. In the event there is a price increase, your retreat investment will be honored.

Which dates would you like to sign up for? *

First Name *

Last Name *

Address *

Phone *

Email *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relation *

How did you hear about this retreat? *

What sparked your interest in a Soul Journey Retreat? *

Do you have any expectations? If so, please share them. *

Are you excited to participate in the activities offered as part of this retreat? *

What do you love about your life? *

What areas in your life do you feel need improvement? *

What do you love to do? *

What questions do you have about me and/or this retreat? *

Do You Have Any of the Following?

Food Allergies? If yes, please list in the next box.
Food Aversions? If yes, please list in the next box.
Medical conditions that I should know about in the event you get sick? If yes, please list in the next box.

Where are you the happiest (not necessarily a geographical place)? *

How would you describe your relationship to Spirit? *

How do you handle the following: (A-Like a champ; B-In fear; C-In tears; D-I don’t) *

Tough conversations
Toxic people
My job
Understanding how I feel
Looking in the mirror, literally and figuratively
Moving forward from my past
Unhealthy relationships
Love
Forgiveness
My family/extended family

What do you believe about yourself? *

What expectations do you have for yourself? What expectations do others impose on you? *

After an upsetting event or high emotions, what do you do to get settled down? *

What part of your life gives you the most anxiety? *

Do you want to be less stressed? Deeply happy and content? Live your life? *

Is there anything else you would like to share, or feel I need to know? *

Are you ready to make the investment of time and money to change things for you? Can you do this on your own or do you need my help? *

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**By hitting "Submit," you agree to communications from Just Steph and her employees via texts, emails, and calls. Your information on this form is collected for retreat purposes only and will never be sold.

On the next page, please schedule your free one-hour retreat consultation with Steph.