Somatic Mentorship Retreat Intake Form

I am so excited to spend time together in the Sierra Mountains this summer. I live here because of the beauty, the power and the peace and I can’t wait to share the land, community and magic with you!

Please fill out the form below.

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about this retreat?

Tell us a little about you- what brings you to this Somatic Mentorship Retreat and what are you hoping to get out of it?

This is a nature-based retreat. Are you comfortable spending long hours outdoors?

Our basecamp is a group campsite. Will you be camping on-site or staying elsewhere?

Mammoth Lakes, CA is at 8,000 feet or 2,400 meters. Are you aware of the effects of altitude and how to support yourself in acclimatizing?

We require a non-refundable deposit of $500 to reserve your place as well as signed liability release and participant agreement forms. Are you able to commit to a deposit at this time?

Is there anything else that you would like to share?