JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VOID
Falling through the Mystery
5 day retreat
-
ESTONIA
Oct 4th -8th 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Where are you currently living?
*
Your answer
Facebook URL
*
Your answer
What draws you to 'VOID'?
*
Your answer
Do you have a practice that connects you to Source? If yes describe.
*
Your answer
Have you had periods of struggle with depression, "dark night of the soul", or other mental or spiritual health issues? Please describe
*
Your answer
Are you taking any medications?
*
Your answer
What are your food restrictions?
*
Your answer
AGREEMENTS
Read & agree by ticking all boxes.
You will only be registered once payment is received & agreements are confirmed.
*
I understand that the rituals in this retreat are within the context of the retreat and transmission of this retreat and agree to hold the rituals sacred and confidential
I agree to refrain from drugs and alchool during the time of the retreat.
I agree to refrain from sexual impulses with myself and others during the time of the retreat.
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Laura Deva.
Report Abuse
Forms
