VIP Couples Retreat Application | Private Sacred Weekend

Full Name

Your Partners name

Phone *

Email *

Where are you located? (City + Country)

Address

Street Address

City

State

Country

Postal Code

Your Love Story

How long have you been together?

What drew you to one another in the beginning? What do you cherish most about your relationship?

What milestone or intention is bringing you into this weekend? Helper text (optional): Anniversary, vow renewal, healing a rupture, deepening intimacy, etc.

In your own words — what feels amazing between you right now?

What feels tender, stuck, or painful? Where do you need support? Helper text (optional): Honest reflection is encouraged.

How do you currently navigate conflict, communication, and emotional needs?

Intimacy + Desire

How would you describe your current sexual connection?

Thriving + passionate

Good but could be deeper

Occasional or inconsistent

Disconnected and in need of support

What are your desires for sensual or erotic reconnection?

Are there any boundaries or sensitivities (physical, emotional, or trauma-related) I should be aware of to support you safely and respectfully?

Ceremony Preference

Which experience are you most drawn to?

Vow Renewal / Sacred Union Ceremony

Rekindle + Reconnect Immersion (no ceremonial vows)

If renewing vows, is there a specific date or milestone you are celebrating?

Your Vision

What would feel like a miracle or dream outcome from this weekend?

How committed are you both to the inner work required to create that outcome?

We are ALL IN

A little nervous and very ready

We want help but aren’t sure how ready we are yet

Investment + Logistics

This is a private luxury experience starting at $12,000. What level of financial readiness do you currently have?

We are fully ready to invest

We are exploring options but likely ready

We desire this but finances may require a plan

Are you willing to travel to the Austin, Texas area for your private weekend?

Yes, absolutely

We’d like to explore hosting in our city (additional fee)

Open to either

Preferred dates or timeframe

Personal Alignment

Is there anything else you’d like me to know about your relationship, your desires, or why you feel called into this level of support?

If your application is accepted, are you available for a 20-minute clarity call within the next week?

Yes

We’ll make time

Agreement & Consent

I understand this is a sacred and intimate mentorship container, not therapy, centered on intimacy, communication, erotic aliveness, and ceremonial support. I agree to apply with presence, honesty, and respect.

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