journey into silence: application

this sharing is not about qualifications or spiritual achievements, but about readiness and resonance. there are no right or wrong answers, only the truth of your current path.

name

First Name

Last Name

phone

(###)

###

####

which retreat are you interested in?

may 26-29

june 10-13

sept 21-24

take a breath before answering these questions. let the first words that arise be your guide rather than overthinking. your authentic voice is what we're listening for.

what calls you to silence at this moment in your life?

share what draws you to this specific practice of shared silence, and why now feels like the time

how would you describe your relationship with stillness and silence? what do you hope might emerge from these days in the desert?

have you participated in silent retreats before? if so, what was that experience like for you?

yes

do you have any physical conditions or needs we should be aware of?

including mobility considerations, injuries, or anything that might affect your comfort during practices

do you have any dietary requirements or food allergies?

are you currently taking any medications that might affect your retreat experience?

is there anything else about your physical or mental wellbeing that would be helpful for us to know?

this might include sleep patterns, anxiety, sensitivities, or other considerations

what type of accommodation would you prefer?

shared ($1,475)

private room ($1.875)

master bedroom ($2,012)

how did you hear about moon nectar?

we're curious about the paths that lead people to our circle

emergency contact name and phone number:

is there anything else you'd like to share with us as we consider your application?

any questions, concerns, or additional information you feel is important

sacred agreement by submitting this application and deposit, I agree to the terms and conditions. I acknowledge: that this retreat involves maintained silence and mindfulness practices that I am responsible for my own physical and emotional wellbeing that I commit to honoring the container of the retreat, including the practice of silence that I understand the $500 deposit is refundable only if my application is not accepted that if accepted, I will complete full payment 30 days before the retreat begins your $500 deposit will be processed when you submit this application. should our paths not align for this particular gathering, your deposit will be fully refunded.