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Living LOVE Application

Thank you for honouring your call into this Expansion of the sacred container of Love Becomes You. Living Love is about:

Living in Love with Life. Finding your Flow, Following your Inspiration & Filling your Heart.

Please complete this application from your heart — all responses are held in confidentiality and LOVE

Have you secured you place at Love Becomes You?

A
B
C
If you answered yes to already booked in, our apologies for any duplication in questions, we appreciate your understanding.
If you are still deciding feel free to contact Samantha with your questions or concerns divinespark@samanthawarner.com.au

About you

What is your first name?

What is your last name?

Please share your mobile number

What is your best email?

Profession / What do you do in the world right now?

Accommodation

What type of accommodation are you interested in

A
B
C

Health and Food

Do you have any health conditions (physical, mental, emotional) we should be aware of to support you fully during the retreat?

Do you have any food allergies, intolerance's or dietary needs?
We will be exploring the culinary delights of Ubud, so you will be free to select anything from the menu.

How would you describe your level of fitness?

A
B
C
D

Soul Questions

What is drawing you to this retreat?

What are you hoping to receive, release, or awaken through this experience?

Have you attended a retreat in Bali before?

A
B
C

Is there someone you would like to share a room with if choosing twin or double occupancy?

Is there anything else you'd like us to know?

Do you have any burning questions?