Self MAED Retreat Application

Getting to Know You...The Basics

Love is in the details and that is what makes each Self MAED Retreat unique.

The retreat application is designed to get to know each participant prior to booking to further enhance your retreat experience.

Once we complete the review of your application, you will receive a special booking link valid until sold out. Our retreats are small and intimate with limited spots to ensure a quality experience for our guest.

Self MAED offers 0% interest rate payment plans that do not require credit inquiry.

You’ll receive a response within 2-3 business days of review of your application.

Applications require a $25 non-refundable processing fee which is applied to the welcome pack you receive when booking your retreat!

Step 1 of 3

33%

Hey, Sis. What's your name? Full Name.*
Do you have a preferred name?*
Email*
What's Your Instagram Handel?*
How did you hear about Self MAED or the Retreat?*

If you were referred by a friend, please add their name.
I am interested in learning more about:
- Deep Rest | 7 Day| Bali 2025 | Women Only
- Healing in Nature Retreat | 3 Day | Summer 2024 | Co-Ed
- Bi-Annual Mexico Retreat 5 Day | Fall 2024
- Mini Spa Day Retreat | 4-5 Hours | Ithaca, NY
- Private Individual Retreat | 2024
Mark all that interests now and commit to one or more later!
How would you describe yourself?*
- Introvert/Reserved
- Extrovert/Life of the Party
- Ambivert/ Depends on Environment
I am willing to try new things (at least once)?*
- Strongly Agree
- Agree
- Disagree
- Strongly Disagree
How are you rolling up to the retreat?*
- Solo Dolo
- + my boo
- + my bestie
If you are a solo traveler, are you booking a solo room or would you like to be paired with another solo traveler?*
- Solo Room
- Sign me up for a roomie
What kind of traveler are you:*
- I like detailed itineraries
- I roll with whatever
- I follow my spirit, I will engage in as much or as little as I choose
What's your style of travel:*
hold CTRL to select multiple selections.
Which describes you best?*
- I love the silence of the early morning
- Morning Person, but not before 9am
- I love to sleep in until late morning
I am ready to engage in group discussions and I allow myself to be open to bond with other womxn on the trip::*
- Yessss
- I am a bit more reserved and would rather listen
- Depends
Please explain any hesitancies in being open to share in discussion and bonding:*

Let's Explore a Little Deeper
This section is confidential and allows us to ensure we have the right resources available to our retreat participants.
I have completed rehabilitation (substance abuse, physical therapy, etc):*
- Yes
- No
If you have previously completed rehabilitation, please tell us more about your experience, which type of rehab, as well as your sponsors name, if applicable.*
Are there any emotional triggers or traumas we should be mindful of during this experience?*
Do you have any fears or phobias? If yes, please explain.*

Retreat Experiences
We would love to hear about your experiences and expectations of wellness retreats.
I would like to attend a Self MAED Retreat because...
Have you previously attended a wellness retreat?*
- Yes
- No
What company hosted your previous retreat experience? Did you enjoy your experience? What would you have changed? Add any details you wish.*
I am looking forward to fun, relaxation, and openness as we also dive deep into our inner selves, so that we can experience the best parts of who we really are.*
- Yesssss
- IDK about that
- I'm nervous, but I'm game
I have checked my passport and it is valid for at least one month past January 2025*
- Yes
- No
- I do not have a passport (yet)
Is there anything else you would like to share with us to enhance your retreat experience? (or anything you want to share)
Do you have any questions you would need answered before receiving your booking link?
Are you ready to make your deposit of $500 within the next 48 hours?*
- Yes
- No
Is there a friend or family member you would like us to invite to the retreat on your behalf? Please enter their email or IG below.
Consent*
I agree to the website terms, conditions, and privacy policy
https://selfmaed.com/terms-conditions/
Consent*
I agree to receive emails from Self MAED as it relates to retreats, products, or services.