A LOVE REVOLUTION

Once you fill out this form AND make your $500 refundable deposit, the application process will begin!

If accepted, your $500 deposit will reserve your spot and your next payment will be deducted every week.

Your will get a Full refund (minus 2% wire fees) if your application is not accepted.

✨ A HIGHER LOVE ✨

Application to Attend the 7-Night Singles Immersion

Dec 27–Jan 3 | Nosara, Costa Rica

Don’t call your ex for the Holidays. Book your flight to Nosara.

This application is not an audition. You’re not applying to be chosen.

From here onwards, you're choosing yourself. And that’s what changes everything.

A HIGHER LOVE is a sacred, curated space for single men and women who are ready to step beyond dating strategies, performance personas, and ‘almost-love’ — and into embodied intimacy that lasts.

You don’t need to prove your worth here. You just need to be honest.
This is where your soul gets to lead — not your strategy.

There are only 24 spots (12 men, 12 women), and this space tends to fill quickly.

If your heart is whispering “yes,” trust it.

The rest? We’ll take care of, together.

✨ A HIGHER LOVE ✨

Section 1:

Let’s begin with a few basics so we can stay in touch and create a space that reflects who you truly are.

1. Full Name *

2. Email *

3. Phone Number *

4. Instagram Handle (if applicable)

5. Gender *

6. Age *

7. Relationship Status (please share as you feel comfortable) *

Single / Recently Uncoupled / Situationship / Divorced / Widowed / Other

8. Are you applying to this retreat with a friend(s)? Y/N and sharing a room? Y/N *

Y/N and Y/N

✨ A HIGHER LOVE ✨

Section 2:

This part isn’t about getting it right. It’s about being real. What have you been holding that deserves to be seen?

9. What have you been carrying in your heart that others can’t see? *

10. What do you truly desire in love? Beyond “attraction” or “connection” — what would feeling met look like for you? *

11. Where do you notice yourself pulling away from love — even when it’s good? *

You can answer emotionally, somatically, spiritually — any way it comes through. Share in brief

12. What kinds of support, healing, or growth work have you done on your journey so far? *

e.g. coaching, therapy, tantra, nervous system regulation, breath work, etc.

13. What drew you to this retreat? Why now? *

✨ A HIGHER LOVE ✨

Section 3:

This space is intimate, curated, and real. Your honest answers help us honor your needs while protecting the collective energy of the container.

14. A HIGHER LOVE includes emotional processing, co-ed rituals, sacred ceremony, and deep energetic work. There is no sex or forced intimacy. You may sit out of any practice, but we ask that you do not leave. Are you open to fully participating from this place? *

Yes / No / I’d like to talk more about this

15. Are you committed to being sober in this space? *

Yes / No / I’m open to it

16. This is a carefully curated space. Equal numbers of men and women. Deep polarity. No performance. Are you open to working with various people to witness the mirrors they present to your body and inner voice? *

Yes / No / Maybe

17. This space is free from ‘hook up’ and predatory energy. Are there any other needs, sensitivities, or preferences you want us to know about in creating safety for you in this space? *

This might include trauma considerations, triggers, accessibility, or anything else important to name.

✨ A HIGHER LOVE ✨

Section 4:

This isn’t a question of ‘if.’ If you’re here, it’s already working on you.

Let’s see what your yes sounds like.

18. This is a premium retreat. Tuition begins at $3555 USD and includes many inclusive accommodations, nourishing meals, immersive workshops, ceremonies, and integration. Travel is not included. Are you financially resourced and ready to invest in this experience? *

Yes — I’m ready / Yes, with support or plan / Not at this time

19. If your heart already knows this is for you — what’s the message you’re hearing?

Optional. Speak from your higher self.

20. Anything else you want to share with Stefanie or the team as we review your application? *

Your details are secured with Stefanie. By sharing your thoughts, you help us to refine your retreat experience, improve comfort, and deliver the best results in this retreat journey.