RETREAT APPLICATION

Please select your desired event, then fill out the form as much as possible so we can get to know you.

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Select Your Event(s) *

Name *

First

Last

Email (we will contact you via email.) *

Phone Number (enter numbers only) *

Why would you like to attend the Self-Care Retreat? Select your top three priorities. *

Get to know myself and my purpose
Visit somewhere new and experience the culture
Relax and take some time out
Learn some stress management techniques
Celebrate and let my hair down
Fly home feeling completely transformed from the inside out
Go to some fun parties
Put my needs first for once
Make friends for life

Are you a Female? The Self Care Retreat is a retreat just for female. *

Please tell us a little about yourself? Do you have any passions, hobbies, interest, fun facts about yourself? *

What is your age? How many laps around the sun have you done? *

Do you have any food allergies, dietary requirement, or any physical health challenges we should be aware of? Type n/a if not applicable. *

Where would you be flying from? (Country or State) *

Boutique Women’s Travel Group & Transformative Retreats

Shields Era Travel is a boutique women’s travel group focused on leading like-minded women on adventures and transformative retreats around the world. We travel in small, intimate groups and curate culture-filled adventures, full of fun and authentic experience.

travel@shieldsera.com

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