B.E.C.O.M.I.N.G. H.E.R. · Retreat Application

Section 01 of 08

Personal Details

Let's begin with who you are and how to reach you. This information ensures your application is properly reviewed and your retreat experience is personalized from the start.

First Name *

Last Name *

Preferred Name or Nickname

What would you like Coach Kay to call you during the retreat?

Email Address *

Phone Number *

City *

Country / State *

Age Range *

Profession / Industry *

What do you do professionally? Feel free to share your title or describe your work.

Instagram Handle

Optional, but helps Coach Kay connect with you and understand your world.

How Did You Hear About B.E.C.O.M.I.N.G. H.E.R.? *

Instagram / Social Media Love Beyond the Surface Podcast Affluent & Aligned Community A Friend or Personal Referral Email List Other

If You Were Referred, Who Sent You?

Photo and Content Consent *

During the retreat, Coach Kay and the team may take photos or short video clips for brand and community use. Please select your preference.

Yes, I am comfortable with photos and video being used on social media and brand materials Yes, but I prefer no close-up individual photos. Group photos are fine. No, I do not consent to photos or video of me being shared publicly

Section 02 of 08

Life Season & Identity

Before Coach Kay can serve you, she needs to understand the chapter of life you are currently in. This section gives her a window into your world as it is right now.

"The woman who knows herself cannot be shaken by anyone who doesn't."
— These questions are not about judgment. They are about understanding.

How Would You Describe the Season of Life You Are In Right Now? *

Not the highlight reel. The honest version. What is actually going on in your life as you complete this application?

Current Relationship Status *

Single and intentionally focusing on myself Dating but not in a committed relationship In a committed relationship Engaged Married Separated or going through a divorce Widowed Other / Prefer not to say

Outside of Your Relationship Status and Career, How Do You Identify Yourself? *

Who are you? Mother, caregiver, creative, leader, survivor, seeker? How would you describe the woman you are at your core?

What Is the Biggest Shift or Transition You Have Experienced in the Last Two Years? *

This could be a career move, a relationship ending, a loss, a healing journey, a reinvention, or anything that has significantly changed your life.

What Are You Most Proud of About Yourself Right Now?

This question matters. It tells Coach Kay what strengths to build on during the retreat.

Do You Have Children or Dependents? *

This helps Coach Kay understand your life context and available bandwidth for this kind of deep work.

No children or dependents Yes, children under 12 at home Yes, teenagers at home Yes, adult children or other dependents

What Are You Genuinely Struggling With Right Now? *

You do not need to have it together to be here. This retreat is designed for women in the middle of the work, not after it is done.

Section 03 of 08

Relationship History & Patterns

This section helps Coach Kay understand the relationship landscape that has shaped you. You do not need to relive your past here. You only need to identify what has been true and what you are ready to change.

Your answers here are confidential. They are used only by Coach Kay to prepare for your retreat experience. You will never be asked to share anything publicly that you have not chosen to share yourself.

How Would You Describe Your Overall Relationship History? *

Not a list of names or timelines. A description of the emotional experience. What has love generally looked like for you?

What Relationship Pattern Are You Most Ready to Break? *

If you could name one recurring dynamic that has shown up across more than one relationship or situationship, what would it be?

Which of These Have You Experienced in a Relationship? *

Select all that apply. This helps Coach Kay prepare trauma-informed facilitation for the group.

Emotional unavailability or inconsistency from a partner Infidelity or betrayal of trust Verbal or emotional mistreatment Codependency or losing yourself in a relationship Abandonment or being left without closure Loving someone far more than they loved you back A mutually toxic or chaotic relationship dynamic None of the above have applied to me

What Kind of Person Have You Most Consistently Been Attracted To?

Not physical appearance. Emotional energy. What feeling or dynamic in a person tends to pull you in?

Where Do You Believe This Pattern Comes From?

If you have thought about it, what early experiences, relationships, or beliefs do you think shaped how you show up in love?

What Kind of Relationship Do You Actually Want? *

Not what you have settled for. Not what you think is realistic. What do you genuinely want love to look and feel like in your life?

Section 04 of 08

Inner Healing, Confidence & Self-Worth

B.E.C.O.M.I.N.G. H.E.R. is an identity-shift experience. These questions help Coach Kay understand where you are in your relationship with yourself, so she can meet you exactly there.

Describe Your Relationship With Your Own Self-Worth. *

Not the surface answer. Do you genuinely believe you are deserving of the love, care, and life you say you want?

What Does Your Inner Critic Most Often Say to You?

The voice that shows up when you are about to take a risk, set a boundary, or step into something bigger. What does it say?

How Would You Describe Your Current Relationship With Boundaries?

In relationships, with family, at work, with yourself. Are your boundaries clear? Inconsistent? Hard to maintain? Nonexistent?

Have You Previously Done Any Personal Development, Therapy, or Coaching Work? *

Yes, extensively. I have done significant inner work. Yes, some. I have begun the work but it is ongoing. Minimally. I am newer to this kind of work. No. This would be my first significant experience.

Are You Currently Working With a Therapist, Counselor, or Coach?

If yes, how does your current support system complement what you are seeking from this retreat?

What Have You Already Tried That Has Not Produced the Change You Were Hoping For?

Knowing what has not worked is just as important as knowing what has. This prevents Coach Kay from repeating approaches that have not served you.

If You Have Worked With a Therapist or Coach Before, How Did They Describe You as a Client?

What did they say about how you show up, what your strengths are, or what you need to work on? Even a paraphrase is helpful.

What Healing Work Have You Already Done That You Are Most Proud Of?

This tells Coach Kay your existing strengths and what ground has already been covered.

Section 05 of 08

Retreat Goals & Desired Outcomes

What do you want to walk away with? These questions help Coach Kay ensure the retreat is built around real outcomes, not just an experience. Your answers directly shape how the week is facilitated.

What Is Your Single Most Important Goal for This Retreat? *

If you could leave this ship having achieved one thing, what would it be?

What Does Your Life Look Like One Year From Now if This Retreat Changes Everything? *

Write this in the present tense as if it has already happened. What do you see? How do you feel? What is different?

What Is the One Thing That Has Kept You Stuck, That You Are Finally Ready to Address?

The thing you know is there. The thing you have circled around but not fully faced. If it came to mind just now, that is probably it.

How Would You Describe Your Life Stability Right Now? *

Deep transformation work is most effective when the basics of life are relatively stable. Coach Kay wants to make sure you are in a position to actually receive this work.

Very stable. I have the time, space, and financial footing to be fully present. Mostly stable. There are some moving parts but nothing that would prevent me from being present. In flux. I am navigating significant change but I still feel this is the right time. Unstable. I want to be honest that my life is in a lot of transition right now.

Section 06 of 08

Group Dynamics & Coaching Readiness

This retreat is a curated, intimate group experience. These questions help Coach Kay ensure the group is well-matched and that she can support everyone well. There are no right or wrong answers here, only honest ones.

How Do You Show Up in Group Settings? *

Are you someone who tends to lead conversations? Stay quiet until you feel safe? Observe before opening up? Share openly and quickly?

What Would Make You Feel Safe Enough to Be Fully Honest in a Group Setting? *

A clear confidentiality agreement from all participants Never being pressured to share what I am not ready to share A non-judgmental environment where different experiences are respected Strong, skilled facilitation that keeps the group on track Knowing I can speak privately with Coach Kay if needed Being in a room with women at a similar level of self-awareness

How Do You Prefer to Receive Coaching and Direct Feedback? *

Coach Kay needs to know how to approach you. Do you want gentleness, directness, or somewhere in between?

What Do You Think You Will Bring to This Group of Women?

Every woman in the room is both a student and a teacher. What energy, perspective, or experience do you bring?

Is There Anything You Are Nervous or Uncertain About Regarding This Retreat?

Name it. Coach Kay would rather know your hesitation before the retreat than during it.

Have You Ever Attended a Retreat, Mastermind, or Group Coaching Experience Before? *

Yes, multiple times Yes, once No, this would be my first experience like this

If Yes, What Did That Experience Teach You About How You Show Up in Transformational Spaces?

Section 07 of 08

Health, Accessibility & Travel Logistics

These questions exist purely to serve you well. Your comfort, safety, and accessibility matter. If anything here requires a more personal conversation, Coach Kay and the team are available to speak with you directly.

Which Experience Tier Are You Applying For? *

Foundation Experience — $5,500 · Interior cabin, all workshops, small group circles, 90-day plan, 3-month HER Circle membership VIP Experience — $7,500 · Foundation + balcony cabin, 1 private coaching session, VIP dinner, Standards Document review, 6-month HER Circle Concierge Experience — $9,500 · VIP + premium suite, 3 private coaching sessions, custom 90-day plan, 12-month HER Circle, concierge pre-travel support I am not yet sure which tier is right for me and would like to speak with someone first

Are You Prepared to Invest in Full or Would You Need a Payment Plan? *

I am prepared to pay in full I would need a payment plan I need more information before committing

Do You Have a Valid Passport? *

This cruise departs from a US port and visits international destinations. A valid passport is required.

Yes, valid for more than 6 months Yes, but it expires within 6 months No, I need to apply

What City Will You Be Flying or Traveling From?

Will You Be Traveling Alone or With Someone You Know? *

Traveling alone Traveling with a friend or family member

Is This Your First Time on a Cruise Ship? *

This helps the team tailor the onboarding and orientation experience for first-time cruisers.

Yes, this will be my first time on a cruise ship No, I have cruised before but not many times No, I am an experienced cruiser and feel very comfortable on ships

Roommate Request or Preference

Foundation tier guests may share cabin arrangements. If you are traveling with someone or have a specific preference, note it here.

Health & Accessibility

This information is used strictly to plan for your wellbeing. It is never shared publicly.

Dietary Restrictions or Food Allergies

We will do our best to coordinate with the ship's culinary team on your behalf.

Accessibility Needs or Physical Considerations

Do you have any mobility, sensory, or physical needs we should be aware of when planning sessions and venues?

Do You Experience Motion Sickness or Have Concerns About Being on a Ship?

No concerns Mild sensitivity, I manage it well Yes, this is a real concern for me

Is There Anything About Your Current Mental or Emotional State That the Retreat Team Should Know to Support You Well?

This is completely optional and confidential. If you are currently in an acute mental health situation, we want to ensure this retreat experience is appropriate and supportive for you.

Emergency Contact Name & Phone Number *

Section 08 of 08

Final Reflection & Commitment

You are almost finished. These final questions are the ones Coach Kay reads most carefully. They give her a complete picture of who you are and what you are stepping toward. Take your time here.

This is not just a retreat. It is a declaration. The act of completing this application is itself a statement about who you are becoming. Coach Kay reads every word.

What Do You Specifically Need From Coach Kay During This Retreat? *

Not what you think sounds right. What do you actually need? Accountability? Gentleness? Permission to be honest? Someone to finally call you higher? Tell her directly.

Why Now? What Made You Apply for This Retreat at This Particular Moment in Your Life? *

Not the polished version. The real answer. What happened, or what reached a point of enough, that brought you to this form?

Is There Anything You Want Coach Kay to Know About You Before She Reviews Your Application?

Anything you want to make sure she sees, understands, or holds space for. Consider this your personal note directly to her.

Complete This Sentence: The Woman I Am Becoming... *

Do not overthink it. What comes up first is usually the truest.

What Part of You Wants to Close This Form and Not Submit It?

Name the resistance. The part of you that says you are not ready, not worth the investment, or not sure. What is it saying?

Questions or Anything You Want to Know Before We Connect?

Agreements & Commitment

I understand that everything shared in this application and during the retreat is held in strict confidence by Coach Kay and the B.E.C.O.M.I.N.G. H.E.R. team. * I commit to showing up fully, participating honestly, and engaging with the retreat experience with an open mind and a willing heart. * I understand that submitting this application does not guarantee a spot. Coach Kay personally reviews each application and will be in touch within 5 to 7 business days. * I consent to being contacted by Coach Kay or her team by email and phone to discuss my application and next steps. *

What Happens Next:
After you submit, Coach Kay personally reviews your application within 5 to 7 business days. If you are a strong fit, you will receive an invitation to a private discovery call with Coach Kay to discuss your goals, your tier, and confirm your spot. Your investment deposit is only collected after your spot is confirmed.