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UNtamed Costa Rica Application

Please complete all questions to be considered for 1 of the 12 spots.

The application is 21 questions and should take you approximately 3-5 minutes.

Thank you! 💕

 

Questions? Email: [email protected]

 

Click the button below to begin.

Start

Question 1 of 21

First & Last Name:

Question 2 of 21

Email Address:

Question 3 of 21

Phone Number:

Question 4 of 21

Mailing Address: 

Tell Us About YOU!

Share as much or as little as you'd like. This just let's us get to know where you are on your self development journey so we can cater the program towards our participants.

Question 6 of 21

What workshops/events/modalities have you explored in your self development journey (if any)?

Question 7 of 21

What is your top reason for being interested in this retreat?

Question 8 of 21

On a scale of 1 to 5, how committed are you to awakening and releasing (5 being "nothing's going to stop me!")?

A

5

B

4

C

3

D

2

E

1

Let's Talk About the Event

Let us know your preferences and interest in upgrades for the event.

Question 10 of 21

What is your room choice? 

Note: All rooms have a private full bath

A

Luxury Level 1: Room Share with Double Beds $2400

B

Luxury Level 2: Room Share Girlfriend Suite with KING $2400

C

Luxury Premium 1: Private Room with QUEEN $2700

D

Luxury Premium 2: Room Share Girlfriend Suite w/KING with large private balcony overlooking the ocean $2700

E

No Preference

Question 11 of 21

Would you like to invite a bestie and be awarded with an additional VIP session? Would you also like to room with her? If yes to either, please provide her name below:

Question 12 of 21

Are you interested in staying an extra night (Sunday Night) in paradise? 

Note: This was be an additional $150 for Luxury Level rooms or $170 for Luxury Premium

A

Yes

B

No

C

I'm not sure right now

Question 13 of 21

Would you like for us to arrange transportation on your behalf to and from the airport?
(additional $90 each way for car service)

A

Yes

B

No

Question 14 of 21

Would you like for us to arrange concierge on-site COVID testing for your on Sunday morning (+ $75). 

(Note: if you do not choose this option you will need to take a test at the airport ($65) and make an advanced reservation on your own.)

A

Yes

B

No

Question 15 of 21

Do you have any dietary restrictions? (Vegan, vegetarian, gluten-free, peanut allergy, etc). If yes, please list below:

Housekeeping

Just a few more questions so we're all on the same page 🙂

Question 17 of 21

If I were to be accepted, I understand that my registration is non-transferable, and non-refundable. Should I be exposed to COVID or get it, my registration will be credited towards another event.

Additionally, I hereby acknowledge my understanding of risk of exposure to Coronavirus and agree not to hold Roya Mattis and her team liable should I get sick. 

A

I understand the COVID policy as stated above.

B

New Choice

Question 18 of 21

Photo and video will be taken at this event. Please acknowledge your consent to capture and use your image and likeness in future event materials:

A

I consent to photography & videography.

B

Please use images that do not include me, or blur my face.

Question 19 of 21

T-Shirt Size

A

XS

B

S

C

M

D

L

E

XL

F

XXL

G

1X

H

2X

I

3X

Question 20 of 21

How did you learn about UNtamed?

Question 21 of 21

Questions for the facilitators? Let us know here:

Confirm and Submit