Egypt Regenesis Pilgrimage
Deposit & Onboarding Form

Journey of Initiation and Transformation

November 10th - 22nd, 2025

Step 1 - Send Deposit to Reserve your place

If for any reason your application is not accepted you will be refunded. If your application is accepted it is non refundable but transferable

1 Deposit Payment

$555 USD

REVIEW YOUR ORDER

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Secure transaction. All personal data is encrypted & safe.

ARE YOU READY FOR AN ENLIGHTENING INITIATION IN THE ANCIENT LANDS OF KEMET?

Thank you for joining us on this transformative journey. To secure your spot, submit your deposit and complete the application form. Once that’s done, we’ll contact you within 24 hours to let you know about your approval.

If you’d love to connect and feel into whether this is truly aligned with your current path and future vision, I’d be honored to chat. Just reach out via WhatsApp to book a call. 📞
WhatsApp +62 81237229493 or info@inmyelements.com

Step 2 - Fill out the onboarding form

All information will remain confidential - it will help me to get to know your needs before the retreat. If you have questions or concerns, feel free to contact me: WhatsApp +62 81237229493 or info@inmyelements.com

Once you submit your deposit & onboarding form, we’ll be in touch within 24 hours to confirm your spot in the journey. We’re excited to welcome you and are here to support you every step of the way!

FULL NAME

ADDRESS

WHATSAPP NUMBER - INCLUDING COUNTRY CODE

HAVE YOU BEEN TO EGYPT BEFORE? IF YES, WHEN?

WHAT IS YOUR KNOWLEDGE OF ANCIENT EGYPT?

WHAT DRAWS YOU TO THIS INITIATION JOURNEY WITH US IN EGYPT?

HOW WOULD YOU DESCRIBE YOUR PHYSICAL, EMOTIONAL AND SPIRITUAL STATE OF MIND.

HOW WOULD YOU DESCRIBE YOUR PERSONALITY?

DO YOU HAVE A SPIRITUAL PRACTICE? PLEASE ELABORATE.

ARE YOU OUTGOING, INTROVERT, SPIRITUAL, PARTIER, ETC.?

We will be practicing meditations, pranayama, yoga and dance where possible to keep the energies moving.

I agree

I don't agree

Write any Dietary Restrictions if any

Please note: this is a substance free group experience - we will be doing deep spiritual healing and activation work and would like to keep the field clear of intoxicants and tobacco -

Agree

I don't agree

Waiver of Release - please write name in the field if you agree.

I, ______, agree to take 100% responsibility for my body, belongings and mental health while joining this initiatory journey and will not hold InMyElements responsible for my well being.

Terms & Conditions

+62 81237229493

Egypt Regenesis Pilgrimage Deposit & Onboarding Form