Your-Brand-Logo-Dark.png

Step 1 of 2

First pay your deposit via etransfer then fill out the intake form

Send the etransfer to:

ali.lucas@outlook.com

Amount:

$333

You will receive a confirmation of your deposit received.
Deposits are non-refundable.

Don't forget to join our WhatsApp group!

Ask any and all of your questions here.

Intake Form | Step 2

Welcome

Unplugged Island Experience 

Registration

Artboard-2 (2).png

We’re so excited that you’re considering joining us for the Unplugged Island Experience.

This form helps us prepare a safe, supportive, and personalized experience for everyone attending.

Most questions take only a few minutes to complete.

Personal Information

Have you ever experienced any of the following?

How are you paying the rest?

If selecting the Payment Plan, you acknowledge that your registration is secured upon receipt of your deposit and that the remaining balance must be paid by the specified due date. We will be in touch with you with further details.

What ferry time are you arriving for?

Liability & Consent

I understand that Unplugged Island Experience includes wellness activities such as breathwork, meditation, movement, cold exposure, nature immersion, workshops, and other experiential practices.

I understand that participation is voluntary.

I acknowledge that I am responsible for listening to my body and informing facilitators if I feel uncomfortable or unsafe.

​I release the organizers and facilitators from liability except where prohibited by law.

Media Release

Photos and videos may be taken during the event for future promotional purposes.

Community Agreement

I agree to:
-Treat everyone with kindness and respect.
-Respect confidentiality.
-Participate responsibly.
-Follow facilitator safety instructions.
-Respect the venue and nature.

Your-Brand-Logo-Dark.png

Unplugged Island Experience ©2026 & Beyond - All Rights Reserved