Triple Gem Thailand Tour w/ Nali and Nala
$500.00
Registration is open-
The full cost of the tour it $2100 - Please pay the $500 deposit and fill the intake form. When you're done filling the intake form either Ariela or Kali will l call you and share more details about the trip and answer any questions you might have.. We are looking forward to spending the greatest time of our lives together.
.
Click this link or copy and paste below and return to Ariela
If you prefer to use Google docs click the link above
Thailand Journey Intake Form
Please copy, paste, and respond thoughtfully. This helps us create the safest, most supportive, and most nourishing experience possible for everyone.
Basic Information
1. Full Name:
2. Preferred name / nickname:
3. Age:
4. Pronouns (optional):
5. Phone number (including country code if international):
6. Email:
7. Emergency contact name + relationship + phone number:
Experience & Intentions
8. Have you ever studied Thai Massage, Thai bodywork, Tok Sen, yoga, meditation, or related healing arts?
If yes, please describe your experience and level of training.
9. What is your main reason for wanting to join this Thailand journey?
(Healing, study, adventure, cultural immersion, personal growth, connection, etc.)
10. What are you most hoping to receive, experience, or learn from this trip?
Physical Health & Practical Need
12. Do you have any physical limitations, injuries, chronic pain, or health conditions that may affect your participation?
Examples: difficulty sitting on the floor, hiking limitations, back/knee issues, fatigue, heat sensitivity, etc.
13. Do you have allergies we should know about?
14. Do you have dietary needs, restrictions, or preferences?
(Vegetarian, vegan, gluten-free, dairy-free, religious restrictions, etc.)
15. Are you comfortable with tropical environments, insects, heat, humidity, uneven terrain, rustic accommodations, and travel unpredictability?
16. Are you comfortable receiving bodywork and participating in hands-on learning environments?
Emotional & Group Dynamics
17. This journey includes communal experiences, shared lodging at times, close proximity, and group process. Are you comfortable in communal environments?
Please share any relevant prior experience.
18. Are you willing to practice generosity, patience, flexibility, and direct compassionate communication if challenges or interpersonal tensions arise?
19. Is there anything you are currently moving through emotionally that may impact your experience or the group dynamic?
Examples: grief, major life transitions, relationship endings, burnout, trauma activation, etc.
(No need to share anything you don’t wish to—just what helps us support the container well.)
20. What helps you feel safe, grounded, and resourced when traveling or in group experiences?
Adventure Readiness
21. This trip includes massage study, temples, cultural immersion, hot springs, jungle time, tribal village experiences, possible hiking/waterfalls, fire walking, cooking, and periods of spontaneity. How do you feel about adventure, uncertainty, and plans changing?
22. Have you traveled internationally before?
If yes, where?
23. Have you been to Thailand beforeLogistics
24. You be responsible for arranging your own flights will you need a pick up from the airport in Chang Mei the first day of the retreat? (Yes/No)
25. Do you have a valid passport with at least 6 months remaining after travel dates? (if not work on that now)
26. Do you currently carry travel insurance, or are you willing to obtain it?
27. Are there any medications, health concerns, or practical needs we should be aware of in case of emergency?
Final
28. Is there anything else you'd like us to know that would help make this journey more supportive and enjoyable for you?
I understand that there is a nonrefundable policy on these excursions to Thailand. Please sign Here-
---------------------------------------------
Registration is open-
The full cost of the tour it $2100 - Please pay the $500 deposit and fill the intake form. When you're done filling the intake form either Ariela or Kali will l call you and share more details about the trip and answer any questions you might have.. We are looking forward to spending the greatest time of our lives together.
.
Click this link or copy and paste below and return to Ariela
If you prefer to use Google docs click the link above