This is your sign to take the damn break your burnout has been screaming for

Let’s Make It Official

This isn’t some stiff formality — it’s your first step into a damn awesome weekend built for you. Your answers help us make sure the vibe fits and everyone gets the most out of the retreat. Be real, be honest, and don’t overthink it — we just want you, exactly as you are.

Agreement & Next Steps

I understand that this is an application and not a final registration. I acknowledge that submitting this form does not guarantee my spot at the retreat.

1. Full Name*

2. Email Address*

3. Phone Number*

4. Date Of Birth*

5. Emergency Contact (Name + Phone)

6. Do you have a roomie in mind? (Name + email)

7. What made you want to join this retreat?*

8. What do you hope to walk away with after the weekend?*

9. How do you like to spend your downtime? (Be honest — “by the pool with a drink” is a valid answer.)*

10. What (or who 👀) do you need a break from?

11. Have you booked a weekend retreat before? If so, when and where?

12. Any allergies or dietary restrictions?

13. Do you have any mental or emotional health considerations that would help us support you best? (Confidential — only your group host will see this)

14. Are you looking to book a private session with the group host? (Offered early morning or late evening in 30 minute increments for additional charge)

15. Are you ready to fully commit to showing up for yourself, embracing the weekend, and being present in the experience?

16. Do you understand that this is a laid-back, come-as-you-are space — no judgment, no drama, just good vibes?

17. Will you need assistance with airport <-—> retreat location transportation? Offered for an additional charge

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Contact

weightedconversations@gmail.com

Location

Waterfront Villa in Earleville, Maryland

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Let’s Make It Official

Contact

Location

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