Please take a few moments to fill out our registration form.
We will follow up with a confirmation email within 48 hours.
Full Name *
Partner's Name *
Phone Number *
Email Address *
Name of Emergency Contact *
Relationship to Emergency Contact *
Phone Number of Emergency Contact *
What are your goals for this retreat? *
How long have you been with your partner? *
Do you have any children? *
How would you describe your erotic life? *
Have you been in couples counseling, sex therapy or another group process before? Please, describe. *
What are your concerns (if any) about the retreat? *
Anything else you want us to know?
How did you hear about this retreat?
Did anyone refer you? If so, who?
By submitting this contact form (or registration form) you are agreeing to share all information held within it with Hakomi Mallorca staff and trainers. We will use this information exclusively within our organization for our own administrative records, program planning, and to send you service related communications.
Yes, I agree