January 27-29, 2023
You Are More
An Intention-Setting Wellness Retreat for
visionary women of color
YAM Retreat Application
Complete the the form below to tell us about you and your desired retreat experience.
First Name
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Last Name
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Email Address
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Date of Birth
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Where will you be joining us from?
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What city/state are you traveling from to attend the retreat
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What retreat experience are you registering for?
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Please select an option
High Vibes (Pay In Full)
Next Level (Pay In Full)
Intentions + Expectations
Why are you interested in attending the You Are More retreat?
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What do you expect to receive during this retreat experience?
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0 / 200
What are you able to add/contribute to the retreat experience?
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0 / 200
What areas of your life are most important to you right now and will be the focus of your intention-setting?
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Self Care
Mental Wellbeing
Life Purpose
Physical Health
Business
Career
Love + Relationships
Money
Family
Friendships
Community
Select all that apply.
What is your unisex t-shirt size?
*
Select a Size
Small
Medium
Large
X-Large
XX-Large
We've got some exciting giveaways planned for accepted retreatants!
Do you have any food allergies or dietary restrictions?
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If no, enter N/A
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How did you hear about this retreat? If you were referred, let us know who to thank for inviting you!
Is there anything else we should know when reviewing your application?
I have read and consent to the retreat terms of notice below.
*
Yes, I'm in!
Submission of this application does not guarantee my participation in the You Are More Women's Wellness retreat hosted by Simone Cheri and taking place January 27-29, 2023. Applications will be reviewed and approved applicants will be notified within 3 business days after submitting. Once approved, applicants will be notified via email and individuals will have 5 calendar days from the notice to complete their full or partial payment. If payment is not submitted within the designated timeframe, your spot will be released. By submitting this application, you hereby grant You Are More, its host and facilitators, royalty-free rights to use any content provided by you, in whole or in part and in any and all media, now known and hereafter devised, including without limitation, for any purpose, including advertising, marketing and promotional purposes, throughout the universe, in perpetuity, without attribution to you or with attribution to you using your name, likeness or other personal characteristics (your “Likeness”). You represent that you are the owner of the content, and that you have the authority to grant the permission and rights granted herein, and that no one else’s permission is required to grant such rights. You represent that any statements, remarks or claims contained or depicted in your content will reflect your honest views and experiences.
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