Application: HOME, SPRING WOMEN'S RETREAT

APPLY FOR THE 'HOME' WOMEN'S RETREAT

I understand that everything in this form will be held in sacred safety within the facilitators of this retreat and held in confidentiality.

Room Preference (First Choice)

Tent Camping $1222

RV Camping $1222

Angel Room $1444

Lotus Room $1999

Private RV $2222

Room Preference (Second Choice)

Tent Camping $1222

RV Camping $1222

Angel Room $1444

Lotus Room $1999

Private RV $2222

Trauma

PTSD/CPTSD

Bi-Polar

Depression

Suicidal Ideation

Personality Disorder

Autism

Schizoaffective Disorder

Substance Abuse or Addiction

Other

Are you, as a sovereign being, willing to take full responsibility for your health while on the retreat (physically, mentally, emotionally, spiritually, energetically)?

Yes

No

I attest that the information presented in this application is true and accurate.

I understand that everything in this form will be held in sacred safety within the facilitators of this retreat and held in confidentiality.

PLEASE NOTE: Your registration is NOT complete by filling out this application. We will contact you to discuss if you are a good fit for this retreat. If approved, we will provide you with a payment link so you can reserve your spot at this retreat.

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