Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
What about this retreat speaks to you?
*
What main limitations, obstacles, or edges are you currently experiencing in your life and/or relationships?
*
What three shifts are you most yearning to create in your life and/or relationships as a result of your work in this retreat experience? How do you envision yourself one year from now?
*
Have you experienced being nude with others in a non-sexual way? What thoughts and feelings are present for you in experiencing nudity in this way?
*
PREGNANCY: Are you pregnant or trying to conceive? Is there a possibility you could be pregnant at time of the retreat.
*
This retreat is experienced IN NATURE. Which includes wild animals, bugs, dirt, rain, shine, wind, heat, cold, and everything that Mother Earth ecompasses. Do you have any concerns as it relates to this?
*
NO-THING: The entirety of this experience is desgined to be experienced in NO-thing. Meaning no cellphones, no perfumes and fragrant body lotions, no makeup, no clothes, etc. Are you committed to honoring the integrity of the experience and engage in the practice of NO-THING?
*
Yes
No
PLANT MEDICINES: Outside plant medicines such as cannabis, psilocybin, coffee, and etc are not a part of this retreat experience. In order to attend this retreat you are required to refrain from engaging with these teacher plants. Are you able to honor the integrity of the container?
*
I agree to honor the integrity of this container
No, I cannot honor the integrity of this container at this time
RETREAT CALLS: Your retreat experience includes 4 integration calls. One private call with Kerry and three group integration calls. Are you able to attend all 4 calls?
*
Sunday March 2, 1-3PM ET
Sunday March 30, 1-3PM ET
Sunday April 13, 1-230PM ET
I am committed to and able to attend all calls
I am unable to commit to and attend all calls
SLEEPING ACCOMMODATIONS: Private cabins and RV Parking are available at an additional investment. Hammocks in the Forest and Bring Your Own Tent is an option at no additional charge.
*
Please note that previous Glamping Tents at Great Spirit Farm were taken out by hurricane Helene. Great Spirit is working hard to create new cabin structures in their place. If/when these structures become available, you can be notified. Please select the sleeping accommodation that works best for you. Payment is required to confirm your sleeping accommodation.
Cabin 1 (is now reserved)
Cabin 2 - $650
A-Frame Cabin - $450
RV Parking - $125
Forest Hammock
Bring My Own Tent
Notify me if a new cabin structure becomes available
PHOTOGRAPHY: 10+ digital photo files including before and after photo, yoni portrait, candid retreat photos, and group photos are included in the retreat. A private photoshoot is also available at an additional investment.
*
Please note that public photos and video are captured throughout the retreat along with intentional photographs to create art. Photos and video may be shared publicly on Kerry's website and social media. Women can opt out of this experience, along with the opportunity to approve publicly shared images and video.
YES to all included retreat photography
NO to having any photos or video captured of me
YES to photos and videos of me being shared publicly
YES to photos and videos of me being shared publicly with my apporval
NO to photos and videos of me being shared publicly
I am interested in a private photoshoot
I'd like to have a call with Kerry about this
ADDITIONAL INTEGRATIONS
*
Please select any additional integrations you are interested in.
None at this time
BEFORE RETREAT: Virtual Alchemy Session with Kerry - $185
DURING RETREAT: Private Session with Kerry - $90
DURING RETREAT: Private Photoshoot - $195
AFTER RETREAT: Virtual Alchemy Session with Kerry - $185
AFTER RETREAT: Private Master Plant Dieta - $850
ANYTIME: Naked Womb Room - $77/month
CANCELLATION POLICY & TRAVEL INSURANCE
*
All payments are non-refundable. Your investment will not be refunded if you withdraw from the registration process or the event for any reason. If, through the registration process, we find that this experience is not a fit for you, you will be refunded in full or your investment transferred to another experience with Kerry. We reserve the right to cancel the retreat if it is not meeting the retreat minimum. If we do so, you will be refunded in full. Trip cancellation insurance is always recommended whenever making travel plans.
I understand the cancellation policy and the responsibility for my own travel insurance
Are you committed to honoring and taking responsibility for your personal experience and what it reveals for you?
*
How did you learn about Kerry?
*
Is there anything else you would like Kerry to know about you?
*