Complete Your Couple Profile

Complete this profile for both of you after booking. Your responses help us prepare for your retreat, rooming details, dietary or accessibility needs, and any thoughtful touches connected to your stay.

Requests are not guaranteed. Please do not include medical diagnoses.

Reservation / Order Number

Reserved Retreat Date

Purchaser First Name

Purchaser Last Name

Mailing Address

Country/Region

Address

City

Zip / Postal code

Years Married

Spouse/Partner First Name

Spouse/Partner Last Name

Purchaser Preferred Name

Spouse/Partner Preferred Name

Spouse/Partner Email

Spouse/Partner Mobile

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Special Occasion Being Celebrated

Dietary Restrictions — Purchaser

Food Allergies — Purchaser

Dietary Restrictions — Spouse/Partner

Food Allergies — Spouse/Partner

Accessibility or Mobility Needs

Rooming Notes

What would help this retreat feel meaningful to you?

Confirmed Marriage-Season Track

Building Together — married 0–10 years

The Next Chapter — married 10+ years

I acknowledge that dietary, allergy, accessibility, rooming, and special requests are not guaranteed.

Photography / Video Preference

Comfortable appearing in general retreat imagery

Comfortable only in wide/group imagery

Prefer not to appear in identifiable promotional imagery

Purchaser Email

Purchaser Mobile