VOYAGE IN PROVENCE

2025 Women’s Retreats

APPLICATION FORM

I am so honored and thrilled you are considering joining me on this retreat.

My goal is to make this retreat an unforgettable experience for all participants. To ensure an harmonious group and meaningful connections, I kindly ask that you fill in the below form. It will help me know more about you and make sure that your expectations and wishes align with the group and what we have thoughtfully curated for you. Thank you for being willing to share a little more about you.

Your Name

First Name

Last Name

Your Email

Your Phone

(###)

###

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Your Pronouns

How old are you?

Which trip would you like to take part in?

Room Occupancy

Single: I want my own room

Double: I'm coming with someone and we would like to share the room

If you chose double occupancy, please share who you'd like to be paired with:

Why would you like to join this retreat in Provence with Cynthia?

What are you hoping to see/experience during your retreat?

Any bucket list / must-see item in mind

What country will you be flying from?

To ensure a smooth stay, can you let us know of any food allergies / sensitivities or mobility constraints?

I understand & agree my 25% deposit is non-refundable (required)

I understand & agree to have my own travel insurance (required)

Is there anything else you'd like to share with Cynthia?

For example, will it be your first time in Provence? Do you speak French or wish to learn? Have you done a retreat before?

VOYAGE IN PROVENCE

2025 Women’s Retreats

I am so honored and thrilled you are considering joining me on this retreat.

Best French Forever®

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