Premium Coaching & Retreat Application

Welcome. This application is the first step in co-creating an unforgettable experience that prepares you and your partner for the profound transition into parenthood—not only with confidence and connection, but with reverence, intention, and ease.

Our Premium Coaching & Retreat Experience is designed for discerning expectant couples who are seeking more than just information or support. You're seeking a sanctuary—a space to deepen your love, align your values, and prepare for the extraordinary life you’re about to welcome.

Please take your time completing this application. Your thoughtful responses help us ensure that every detail of your retreat is aligned with what matters most to you—individually and as a couple. All responses are reviewed personally and held in confidence.

Contact Information

Full Name *

Age *

Gender *

Email *

Phone *

Partner's Full Name *

Partner's Age *

Partner's Gender *

Partner's Email Address *

Partner's Phone Number *

Address

Street Address

City

State

Country

Postal code

Best day and time for us to reach you *

About Your Pregnancy

Estimated Due Date (baby’s expected arrival) *

Are you first-time parents?

If no, please share a bit about your previous birth or parenting experience: *

What is something each of you is currently cherishing about this season of preparing to grow your family? *

What is something each of you is finding emotionally or logistically challenging right now?

What are you most looking forward to as a family in the months and years ahead? *

What do you anticipate might be a point of struggle or worry in your early parenting journey? *

Are there any specific circumstances or health concerns—physical or emotional—that you’d like us to be aware of as we support you? *

Your "Why"

What inspired you to apply for this private retreat? What drew you to Christina’s approach? *

What excites you most about becoming parents? *

What are your biggest questions or uncertainties about birth, breastfeeding, and life with your baby? *

In what ways do you hope this experience will strengthen your connection as a couple? *

Readiness & Alignment

How do you want to feel—during and after—your private 3-day retreat? *

How do you and your partner typically approach personal growth or emotional well-being? *

How open are you and your partner to holistic healing approaches (e.g., mindfulness, body-based therapies, or somatic awareness practices)? *

We’re very open and already integrate some holistic practices

We’re open and curious to learn more

We’re new to it but willing to explore

We’re unsure or have some hesitations

Are you currently receiving any other birth preparation, coaching, or therapy support? *

Answer Yes or No. If Yes, please specify (e.g., childbirth classes, doula support, therapy)

Have you previously worked with Christina or participated in any Early Beginnings Wellness offerings? *

Yes

No

If this is your first time connecting with Christina, what about her presence, philosophy, or work resonates most with you? *

Sanctuary Retreat
Experience Preference

This retreat is about more than information—it’s about immersion. You’ll receive VIP-level care and personalized attention at every step. To support your vision, we offer three distinct sanctuary settings:

Early Beginnings Wellness Sanctuary – Cowichan Valley, BC
Experience tranquil forested beauty at EBW’s private Cedar Guest Cottage on Vancouver Island, designed for deep rest, intimate connection, and heartfelt guidance.

Premium Curated Sanctuary – Airbnb Near You
Let us meet you in your local setting. Together, we’ll select a nearby luxury Airbnb where we’ll bring the full retreat experience to your doorstep—ideal for couples who prefer staying close to home.

Premium Curated Sanctuary – Destination Airbnb
Envision a transformative getaway in a destination that speaks to your heart—seaside, mountain, or beyond. We’ll co-create a private, luxurious experience in a location you love, blending preparation with rejuvenation.

Which retreat experience feels most aligned with you? *

Early Beginnings Wellness Sanctuary – Cowichan Valley, BC

Premium Curated Sanctuary – Airbnb Near You

Premium Curated Sanctuary – Destination Airbnb

If you selected Airbnb Near You or Destination Airbnb, where in the world are you imagining your retreat taking place? *

Please share any specific cities, regions, or environments you're drawn to (e.g., Tuscany countryside, Pacific coast hideaway, luxury cabin in the Alps, or peaceful retreat an hour outside your city).

Timing

When would you ideally like to attend your retreat? *

Within the next 4-6 weeks

In 2-3 months

I'm flexible - we'll follow your lead

Final Reflection

Is there anything else you’d like to share—hopes, stories, desires, hesitations—that would help us understand your journey and curate a retreat that meets you fully? *

By checking this box, I agree to receive messages about my account, appointments, and services I’ve requested — including reminders, confirmations, and important updates. I understand I can unsubscribe at any time.