Registration for The Relational Way Retreat

Thank you for your interest in joining The Relational Way Retreat! Please fill out this form, then scroll down to the bottom to submit your deposit (required to hold your spot).

Name

First Name

Last Name

When is your birthday?

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Accommodations Package

Please choose your first choice for accommodations. For details and photos of each option, visit http://rootedspirit.love/retreat-accommodations

Second Choice Accommodations Package

In the event that your first choice was sold out, which would be your second choice?

Will you need a payment plan?

Payment plans are offered by splitting the cost of your package (minus the $600 deposit) into three separate payments.

What is your intention for joining The Relational Way Retreat?

(2-3 sentences)

Which retreat pillar resonates most with you—Self, Service, Earth, or Culture?

Do you have skills or passions you’d love to share during our time together?

E.g., music, language, yoga, photography

Emergency Contact

Name & cell number

Do you have any dietary restrictions or preferences?

Please be specific (vegan, gluten-free, etc)

How much experience traveling abroad do you have?

Do you speak Spanish?

Do you have any mobility, hearing, vision, or other accessibility needs?

Please note that reaching the lodge involves a 10-minute uphill walk on dirt paths

Do you have flights booked?

If so, please share arrival & departure date/time/airline (you can update later).

Will you use our group shuttle from GUA to Earth Lodge?

The shuttle leaves at 2:30PM from GUA airport arrivals.

Do you have travel or medical evacuation insurance that covers Guatemala?

We highly recommend travel insurance. Reach out if you need recommendations.

Do you have any allergies or medical conditions we should know in case of emergency?

Are you currently taking any medications we should know about?

I consent to respectful photos/video being taken during group activities and understand they may be used in retreat marketing. (You can opt out any time by telling a facilitator)

I acknowledge that my spot is not reserved until I submit my $600 non-refundable deposit.

Deposit link is below this form.

I agree

Retreat Deposit

If possible, please submit your deposit via Venmo or PayPal. If credit card is best however, click “add to cart” and then checkout by clicking the cart icon in the menu bar.

Submit with Venmo

Submit with PayPal

Pay with Credit Card:

Retreat Deposit

$600.00

Quantity:

Registration for The Relational Way Retreat

Thank you for your interest in joining The Relational Way Retreat! Please fill out this form, then scroll down to the bottom to submit your deposit (required to hold your spot).

Retreat Deposit

Pay with Credit Card:

Gathered Waters Medicine© 2025 Gathered Waters. All rights reserved.

Gathered Waters Medicine
© 2025 Gathered Waters. All rights reserved.