Application - Seeking Integrity

Presented by Seeking Integrity, the Empowered Women’s Retreat is an experience for women looking to heal from past relationship betrayal. This inspiring weekend is for all women healing from betrayal, be they married, partnered, separated, divorced, or single. There is no requirement to be repairing or staying in a relationship.

The January 2025 retreat has an unexpected opening. Call 747-298-7395 for information. Otherwise, please apply for the April retreat.

All attendees must have a primary therapist. Your therapist will need to complete a form for you prior to full acceptance to the retreat. That form is provided for you below.

Download Therapist Referral Form

Your Information

Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
Month
Day
Year
Which Retreat Session are You Applying to Attend*
Check the following boxes to indicate your understanding and agreement.
Please select one*
- I am currently working with a therapist
- I have previously worked with a therapist
- N/A
If requested, I will ask my therapist to submit the therapist form.*
- I understand and agree
I am willing and able to travel to the retreat location.*
- I understand and agree
I am interested in doing deeper work on trauma related to relationship betrayal.*
- I understand and agree
I agree to pay the full fee ($2500, $3000, or $3500 depending on room choice) to attend this retreat.*
- I understand and agree
Do you have any food restrictions or allergies? If so, what are they?*
Phone
This field is for validation purposes and should be left unchanged.