Form cover
Page 1 of 1

MADRE - Regenerative Immersive Experience

November 12–16, Sacred Valley, Cuzco - Peru

Thank you for your interest in joining this regenerative journey. This form helps us better understand your intention, context, and how we can best serve your experience.

Full Name

Email

Phone Number (including country code)

Where are you currently based?

What inspired you to connect to MADRE’s regenerative experience?

Have you ever attended a retreat or event focused on well-being, regeneration, or business transformation?


A reminder: Regeneration is the process of actively restoring, renewing, and enhancing systems—whether natural ecosystems, businesses, communities, or individuals—in a way that increases their capacity to sustain life, adapt to change, and thrive over time. Unlike mere sustainability, which aims to maintain the status quo, regeneration seeks to improve and evolve systems, fostering resilience, biodiversity, and long-term well-being.

Have you ever attended a retreat or event focused on well-being, regeneration, or business transformation?A reminder: Regeneration is the process of actively restoring, renewing, and enhancing systems—whether natural ecosystems, businesses, communities, or individuals—in a way that increases their capacity to sustain life, adapt to change, and thrive over time. Unlike mere sustainability, which aims to maintain the status quo, regeneration seeks to improve and evolve systems, fostering resilience, biodiversity, and long-term well-being.
A
B
C

If yes, what has been the most transformative retreat or experience you've ever had?

We're co-creating this regenerative immersion with you in mind! Could you join us from November 12th-16th?

We're co-creating this regenerative immersion with you in mind! Could you join us from November 12th-16th?
A
B

Do you need support with travel or scholarships? (Optional)
Let us know if there are any barriers and we’ll see what’s possible.

How are you currently engaging with the economy, as a creator, entrepreneur, investor, community builder, etc.?

Do you integrate regenerative practices into your work, life or business?

Do you integrate regenerative practices into your work, life or business?
A
B
C

If yes, how do you integrate these practices? 

(Examples: designing for long-term resilience, prioritizing reciprocity in partnerships, fostering regenerative leadership, supporting regenerative finance models, web3 for impact, leveraging technology for ecosystem restoration, embedding nature-based solutions, integrating ancestral and community-led knowledge, cultivating workplace well-being, etc.)

What is the biggest challenge stopping you from applying regeneration in your business or leadership? (Pick one)

What is the biggest challenge stopping you from applying regeneration in your business or leadership? (Pick one)
A
B
C
D
E

 What would make a retreat truly valuable for you? (Pick your top 3)

 What would make a retreat truly valuable for you? (Pick your top 3)
A
B
C
D
E
F

Would you like to schedule a 1:1 call to explore if this experience is right for you?

Would you like to schedule a 1:1 call to explore if this experience is right for you?
A
B
Thank you! 🌱

Your presence in this process is already part of the regeneration. We’ll be in touch soon.

Before the retreat, we’ll also reach out personally to ask about your dietary preferences, restrictions, and any relevant needs or considerations—so we can care for you in the most aligned and nourishing way.