Important Note:

Before applying, please familiarize yourself with the description and logistics of the Petite Pause retreat. This free spot is reserved for someone who sincerely wants to attend, and who may not otherwise be able due to financial constraints.

Name

First Name

Last Name

Email

Phone

(###)

###

####

How did you hear about Petite Pause?

Which Petite Pause retreat are you interested in?

Please tell us a bit about why you would like to attend (i.e: why you could use a pause), and what you hope to get out of your time on the Farm.

Do you have any dietary restrictions?

Acknowledgment

Please type your name below to affirm you have read through the retreat materials, you would be able to attend the retreat from start to finish, and you'd be delighted at the chance to join us!

Any questions for us, or anything else you'd like us to know?

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