restoration retreat application

Tell Us About Your Journey

The Restoration Retreat is intentionally curated and limited in size to preserve depth, safety, and meaningful connection.

This application helps us understand where you are in your healing and rebuilding process, what you’re hoping to gain, and how we can thoughtfully prepare for the women who will gather.

There is no “perfect place” to be emotionally.

We simply want to meet you where you are.

Each application is reviewed personally.

Thank you for taking the time to share honestly.

How long have you been divorced or separated? *

What stage best describes where you are emotionally right now? *

First Name *

Last Name *

Email *

Phone *

U.S. Residents Only

Why'd does this retreat feel like the right next step for you? *

What financial goals or questions feel most urgent right now for you? *

What legal clarity are you hoping to gain? (Please include your state so we can prepare appropriately.) *

Make sure to mention where you are from. Laws change from state to state.

What are your top 1-3 questions you would want addressed during the trauma-awareness session? *

This retreat is intentionally alcohol-free, trauma-aware (education, not therapy), and small-group. Does this align with what you are looking for? *

If accepted, are you prepared to move forward at the $1,997 investment (or payment plan)? *

Anything else you'd like us to know as we review your application? (Allergies, etc.?)

Application Explanation

You will hear from us within 48 hours.

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.