Name *

First Name

Last Name

Are you scuba certified?

Yes! Ready to dive

Not yet- I need to take my open water scuba course while on the retreat

Housing Preferences

We have 9 spots total- 7 private rooms and 1 shared room that sleeps 2. Prices vary by room selection.

Private room with private bathroom

Private room with shared bathroom

Shared room with shared bath

Will you need to work during the retreat or will you take vacation for the week? *

Working remotely is possible if your schedule is a bit flexible, but with the scuba and the nervous system sessions (yoga, meditation, guided sessions) it will be difficult to work a traditional 9-5 schedule

I will take vacation and disconnect completely

I will need to work some, but I have a flexible schedule

I need to work a lot but am still interested in talking about how I could make it work with my schedule

How familiar are you with the nervous system work we will be diving into (yoga, breathwork, meditation, guided coaching sessions) *

I regularly practice one or more of these

I have tried them but don't regularly practice

These practices will be very new to me, but I am excited to try them!