Plan a Private Retreat | Ital Life Wellness

Let’s begin designing your private retreat.

Please complete this short form so we can understand your needs and create a personalized healing experience just for you.

SECTION 1 — ABOUT YOU

First name

Last name

Email

Phone/Whatsapp (preferred contact)

Where are you traveling from?

SECTION 2 — YOUR INTENTION

What is calling you to a private retreat at this time?

What are you currently experiencing? (select all that apply)

What do you hope to receive from this retreat?

SECTION 3 — RETREAT STRUCTURE

Which retreat format are you interested in?

1-Day Reset

2-Night Renewal

4-Night Rebirth

Not sure — please guide me

Preferred Dates or Timeframe

Are your dates flexible?

Yes

No

Will this retreat be for:

Just me

2 people

3+ people

SECTION 4 — YOUR SUPPORT + MODALITIES

Are there any modalities you do not want included?

SECTION 5 — ACCOMMODATION + COMFORT

Would you like a private accommodations included?

Yes

No

I'm open to options

SECTION 6 — HEALTH & SAFETY

Do you have any medical conditions, injuries, allergies, or mobility considerations?

Are you currently under medical or mental health care?

Yes

No

If yes, please share anything relevant for your safety.

Are you pregnant or postpartum?

Yes

No

Not applicable

SECTION 7 — BUDGET & LOGISTICS

Will you need airport transportation?

Yes

No

Not sure yet

SECTION 8 — FINAL DETAILS

Is there anything else you’d like us to know so we can design the right retreat for you?

By submitting this form, I understand that private retreats with Ital Life Wellness are holistic, wellness-based experiences and not a substitute for medical or psychological treatment. I participate voluntarily and agree that all activities will be tailored according to the information I have provided. I release Ital Life Wellness and its facilitators from liability for any injuries or unexpected reactions that may arise.

I have read and agree to the waiver above.

WHAT HAPPENS NEXT

Once you submit this form, we will review your intentions, availability, and preferred retreat format. A member of our team will contact you within 48 hours to begin designing your personalized retreat and provide pricing options based on your selections.

Arraigado en el equilibrio, elevado por el bienestar.

Let’s begin designing your private retreat.