**🌿 Together We Heal: A Healing Retreat for Survivors of Covert Narcissistic Abuse 🌿**

HEALING THAT IS FOCUSED ON YOU!!

Please be sure to complete ALL 3 steps below in order to reserve your spot in line for this retreat.

STEP 1: Complete this application

Name

First Name

Last Name

Email

What is your relationship with the covert narcissistic person in your world? What is your current status in the relationship?

What type(s) of abuse do/did you experience during your relationship?

If you are separated, what type(s) of post separation abuse have you experienced since leaving the relationship?

If you are in the divorce process, where are you in this process?

Do you have concerns about your physical safety or concerns about being stalked by your ex-partner?

What is your Facebook profile name within the Covert Narcissism Group or Divorcing a Covert Narcissist Facebook groups?

Have you ever attended a similar retreat? If yes, when and where?

Are you familiar with the Covert Narcissism Podcast? If yes, are you a regular listener?

What are your goals for attending this retreat?

What topics would you like to see covered during the retreat?

Do you have any dietary restrictions or special needs? If yes, please specify

Do you have a medical or mental health diagnosis (or limitations) that we should be aware of?

Do you have prescribed medication that could affect your participation (mentally or physically) in the retreat or in group activities?

Retreat participants will be asked to sign a confidentiality agreement to protect themselves and others attending the retreat. Do you agree to sign a confidentiality agreement?

I consent to the collection of this information for the purpose of the retreat.

Type your name in the box to signify your consent

Date

Type today's date in the box

I understand that my information will be kept confidential.

Type your name in the box to signify your understanding

Date

Type today's date in the box

Date

Type today's date in the box

Is there anything else you would like for us to know about you or your situation?

After submitting this form, return to this page and continue with the deposit below to secure your spot in the queue!!

STEP 2: Choose your retreat and your room type

Options available to you:

Two retreats available this year!

September 26-29, 2025 in Somerset, Kentucky

October 17-20, 2025 in Auburn, Indiana

Deposit due now to hold your spot. Payment plans available.

Private Room: Regular price $1350, Early Bird Special $1050

Shared Room: Regular price $1050, Early Bird Special $850

Early Bird Special must register by May 31, 2025 and pay in full by August 15, 2025.

STEP 3: Pay the deposit below

Retreat Deposit

$200.00

Reclaim Your Voice: A Healing Retreat for Survivors of Covert Narcissistic Abuse

This intimate, in-person retreat is designed for those ready to take a deeper step into healing. Through guided support and true connection with others who understand, you'll begin to release what’s been held inside for far too long.

Your journey back to yourself begins here. Secure your spot with a deposit today—spaces are limited.

Date:

Quantity:

Together We Heal: A Healing Retreat for Survivors of Covert Narcissistic Abuse

*

Together We Heal: A Healing Retreat for Survivors of Covert Narcissistic Abuse *

**🌿 Together We Heal: A Healing Retreat for Survivors of Covert Narcissistic Abuse 🌿**

HEALING THAT IS FOCUSED ON YOU!!

STEP 1: Complete this application

After submitting this form, return to this page and continue with the deposit below to secure your spot in the queue!!

STEP 2: Choose your retreat and your room type

Options available to you:

STEP 3: Pay the deposit below

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