Retreat Application

HOW IT WORKS:

1. fill out the application below.

2. Alyse will review your application.

3. If accepted, You will be contacted by text and email within 7 days. your acceptance email will include airport details + everything you need to know :)

3. Once accepted, you will have 48-hours to secure your spot.

grounded RETREAT application

Full Name *

Email *

Instagram Handle *

Please confirm our retreat dates work for you: October 16-20, 2026.

Yes! I am available for these dates.

I have to request off from work or set-up child care, other than that- Yes.

What interests you MOST about attending this retreat? *

Share a little bit about yourself (where you're living, career, relationships, current interests, etc.) *

Describe your past experience with personal development and inner work. Please include any certifications you have completed and specific practices or modalities that you currently use. *

If you could wave a magic wand, and attending this retreat helped you heal, overcome, or improve something specific in your life, what would that be? *

Our retreat includes daily workshops on rewiring subconscious patterns, regulating your nervous system, and relational healing. This inner work is a key component of our retreat. Are you open to participating in this? *

Yes

This retreat is all-inclusive: 6 days of food, lodging, island activities, and transportation are all included (aside from flights) and the investment is $3,900-$5,200. The exact rate depends on the accommodations you choose and what's still available when you join. If accepted, are you ready to invest in yourself? *

Yes, I am ready to Pay In Full

Yes, I am ready to secure my spot with a 6-month Payment Plan

No, not at this time

What is your top choice for accommodations? *

Anything else you'd like to share, or ask?

Phone Number *

If you've been accepted, you will be contacted via phone and email within 7 days of submitting this application.

By completing this form, I agree to receive messages and emails from Alyse Parker.