Mind-Body Alignment Program In-Person Monastery Retreat Application

To ensure participants wishing to register for the Premium Duchêne Method℠ Mind-Body Alignment Program understand the time, dedication, and commitment necessary to participate in the intensive retreat, we ask that you fill out this brief application.

Your answers are confidential and will only be accessed by our in-house team for pre-screening purposes. If you meet the requirements for the Premium Duchêne Method℠ Mind-Body Alignment Program, you will be notified via email for payment arrangements.

Please answer the questions below in full and with up-to-date contact information as this is how you will be contacted.

Spaces in The Premium Duchêne Method℠ Mind-Body Alignment Program are limited. If you have any questions about the content of this application, please contact info@artofalignmentacademy.com

Name(Required)

First Last

Email(Required)

Phone(Required)

Are you interested in the program and retreat?(Required)

Yes, I am interested in the program and retreat.

I am interested in the retreat only.

What draws you to this retreat, and what do you hope to gain from it?(Required)

Have you had any prior experience with somatic practices, such as yoga, gentle movement, or meditation? If so, please describe your experience.(Required)

How do you typically manage stress or difficult emotions? Have you found any somatic practices to be helpful in the past?(Required)

Can you describe your current level of physical fitness and any injuries or limitations that might affect your ability to participate in the retreat's activities?(Required)

Note: Somatic movement is a gentle form of movement therapy that emphasizes the individual's internal experience of movement. It involves a series of exercises that focus on increasing awareness of the body's sensations and movements.

How do you feel about group activities and sharing personal experiences with others? Are you comfortable participating in group discussions or activities?(Required)

Are you comfortable with unplugging from technology for the duration of the retreat?(Required)

Do you have any dietary preferences and/or restrictions?(Required)

Finally, is there anything else that you would like us to know about you or your expectations for the retreat?(Required)

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