Exclusive Retreats with Claire Jorgensen: Please Register your interest here

Full Name *

Email *

Male of Female? *

Age range *

30 to 40

41 to 50

51 and above

Phone (Whatsapp number we use it if we need to communicate) *

Have you ever been to a retreat? If yes, what kind? Tell us a bit about your experience. *

If we proceed with your application, we may ask you for a small refundable deposit to ensure your commitment is this fine with you? *

Are you working? If so what do you do? (We ask this question to understand who you are) - we are keen of creating a thriving environment for all and therefore very keen on getting to know you a bit. *

Why are you interested in the retreats? What do you intend to get out of them? *

Which of the retreat locations are you most interested in? (Check all that apply)) *

Euope (Schengen)

United Kingdom

North America

Asia

Australia

Luxury in Africa

Latin America

The Caribbean

A rough idea of which of the locations above you need a Visa for. It doesn't impact the decision of being selected, but helps us understand how our team would need to support you. Disclaimer: Our team and location experts only get involved in Visa applications when you have paid in FULL for your participation. All fees for Visa processing will be borne by yourself 100%. *

All our Retreats require payment for the programme, Flight tickets, Accomodation and also paying for additional activities like Experiences. Payments are made in full ahead of the retreats. So tell us, which of these statements describe you? *

I am fully in

I am in - will appreciate a payment plan

Write your Statement of Expectations for yourself when you have been to the retreat and return back home. *

What do you think could be the top thing or things that may prevent you from showing up fully and doing what it takes to get your amazing results which you deserve? *

What are some activities you love doing or dream of doing? *

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