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Retreat Application Form

Thank you for your interest in participating our retreat.  We do limit the number of participants from 36 to 58.  Once we have received this  information our Event Director, Jennifer will review it  and she will reach out to schedule a time to talk with you. 

At that time you will be required to fill out a longer questionnaire, sign waiver, terms and conditions, and then pay the fee.

Thank you,

Chakaura™ Team

Chakaura™ Retreat Application

Name(Required)
Your sex at birth?(Required)
MM slash DD slash YYYY
Are you able to walk approximately 1km a day?(Required)
There will be daily walks.
What is your swimming ability?(Required)
Do you have any addictive habits like smoking tobacco products, marijuana, alcoholic beverages more than a few times a week?(Required)
Have you received any of the following vaccines in the past?(Required)
Flu vaccine, Shingles vaccine, mRNA vaccine (Covid-19) such as Pfizer, Moderna, Johnson & Johnson, AstraZeneca, and Boosters.

Your Soul Knows What Your Mind Forgot

Before we go deeper — a sacred energy exchange.

 To access Chakaura™ teachings and content, I ask for your email.

 This is not about marketing. This is about knowing who I am speaking to.

Energy flows where attention goes. Your attention is valuable. So is mine.

 

Please enter your email to continue.

Oshtalo!

"Welcome. Your Soul knows what your mind forgot."

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