The Kismet Reset: A Mind, Body, Spirit Retreat

Registration Form

First Name *

Last Name *

Date of birth *

Gender *

Male

Female

Phone *

Email *

City *

State *

Country *

Room Type *

Shared Room $1999 (per person)

Private Room $2499

Private Room (couple) $3795

Do you have any physical limitations or injuries that we should be aware of? *

Please list food allergies or preferences *

What are you looking forward to most about this retreat? *

Is there anything you are looking to get out of the reset retreat? *

Please Check and Agree to the Following: *

I understand that all payments are non-refundable.

I understand that travel plans can change and I strongly agree to purchase travel insurance to protect my investment.

I acknowledge that I am participating voluntarily and assume full responsibility for my own health, safety, and well-being during the retreat.