Mexico 2026:Nervous System Reset Retreat

Name *

First Name

Last Name

Phone

(###)

###

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Allergies or Dietary Restrictions *

Vegetarian

Vegan

Gluten Free

Dairy Free

Nut Free

Please select from the options below what activities you have previously engaged in. *

Yoga

Pilates

Meditation

Breathwork

Cold Exposure

Temazcal Ceremony

Cacao Ceremony

What room option are you looking to book? *

Studio (double occupancy, $2200 USD per person)

Deluxe Suite (triple occupancy, $2500 USD per person)

Wing Treehouse (quadruple occupancy, $2750 USD per person)

SOLD OUT! King Ecocasita (double occupancy, $3000 USD per person)

SOLD OUT! Queen EcoCasita (single occupancy, $3700 USD)

Are you planning on attending the retreat with someone you know and would like to share a room with them? *

Yes

No

Would you like to book a call with Brittany to further discuss your intentions, needs and inquiries? *

Yes

No

I understand that this application does not confirm my place on the retreat. I understand that once the retreat hosts review my application they will reach out to me to confirm a deposit. Once a non-refundable deposit of $500 USD is made my spot will be secured for Mexico 2025: Nervous System Reset Retreat *

I understand.

I understand that I will be required to pay all remaining balance by November 1st, 2025.. *

I understand.