Portugal

Apply --- Portugal

Applications are reviewed personally, including a health screening step. If a retreat is the right and safe setting for you, we'll email a secure payment link to confirm your place.

About you

Full name

Phone

Country

Date of birth

How did you hear about us?

What are you hoping to get from the retreat?

Dietary requirements

Emergency contact name

Emergency contact phone

Confidential health screening

This section is stored separately from the rest of your application and is visible only to you and to clinically responsible staff. It is never included in team exports or mailing lists. Please be as complete as you can --- it is how we keep you safe, not a test you can fail. Read our privacy notice and safety information.

Physical health conditions or diagnoses

Include anything ongoing, and anything recent even if resolved.

Medications and supplements

Mental health history

Diagnoses, hospital admissions, or periods of crisis --- past or present.

Current support

GP, therapist, psychiatrist, care team or anyone else supporting you now.

GP name and practice

Allergies

Mobility, sensory or access needs

Alcohol or substance use you'd like us to know about

Anything else we should know

I am pregnant, or may be pregnant

Consent

I have read and agree to the terms and booking conditions. (required)

I have read the privacy notice and understand how my data is used. (required)

I explicitly consent to House 137 holding and using the health information above for screening, safety planning and duty of care on retreat. I understand I can withdraw this consent at any time. (required)

Optional: send me occasional House 137 updates by email. Never based on my health information, and I can unsubscribe at any time.