Wellness Retreat RESERVE YOUR SPOT Name * First Name Last Name Email * Phone * Country (###) ### #### How did you hear about us? * Instagram YouTube Tiktok Google Other Gender * Female Male Non-binary/non-conforming Preferred Package Type * Shared Suite Individual Suite Will you be sharing a room? * Yes No Do you want to be paired with another guest if you don’t have a companion? * Yes No If yes: Companion’s Name — so you can match bookings Send Us Details Please use the notes section below to say hello or share any special requests (dietary restrictions, etc.). You’re now on my priority list! Trip details and next steps will be emailed to you and to secure your spot. Thank you for your patience and I can’t wait to share this journey with you.-Tiffany Lumpkin