Peru Application

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Claim your spot on the Rooted in Resilience Retreat in Peru!

February 21-27, 2027

**Once you fill out the form, next steps will automatically be sent to you**

All other retreats can be found HERE

Enter your details below:

First Name

Last Name

Which retreat are you applying to? (You can apply multiple times if you'd like to submit for different retreats!)

Portugal (Sept 28 - Oct 3, 2026)

South Africa (Nov 22-28, 2026)

Peru (February 21–27, 2027)

Guatemala (March 16–22, 2027)

Morocco (April 18–24, 2027)

Tuscany (May 23–28, 2027)

Greece (July 4–10, 2027)

Bali (September 5–10, 2027)

Egypt (October 4–11, 2027)

Costa Rica (November 7–13, 2027)

Phone Number

Age

Where are you located?

Gender

We try to be as inclusive and diverse as possible to ensure representation! Please select the race and/or ethnic identities you identify with. This is voluntary!

Education

What do you do for work?

Do you have any kids? (We like to connect mommas with each other!)

Have you ever been to a retreat before?

How did you hear about us? (choose option below)

Instagram

Tiktok

Google Search

Word of mouth

Other

What account led you to us? (choose option below)

Coherence Retreats social media

Kimberly Kennedy (Founder)

Other Host - Kristin, Alexis (Lexi), Paula, Mary, Emma, Regina

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Google Search

Not Sure

What is YOUR social media handle? Ideally for Instagram (if not, TikTok). Where can we find you!?

Name 3 to 5 things that you're passionate about

Tell us more about yourself!

What is your intention for coming to a retreat? Why do you want to join?

Emergency Contact Name + Phone Number

Do you own a valid passport?

Do you have any physical, mental, or other health conditions we should be aware of to best support you during the retreat?

Dietary preferences or food allergies?

Any other allergies?

I understand that my deposit and any additional payments towards the retreat are non-refundable

I understand that the full price must be paid 45 days BEFORE the retreat begins.

You have read and agree to the TERMS & CONDITIONS (Can be found at bottom of website)

Yes

Join Our Free Trial

Get started today before this once in a lifetime opportunity expires.

Claim your spot on the Rooted in Resilience Retreat in Peru!February 21-27, 2027

Join Our Free Trial

Claim your spot on the Rooted in Resilience Retreat in Peru!

February 21-27, 2027