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Jijivisha Holistic Retreat Interest Form
Event Timing: Spring 2024
Location: JTH Tucson resort
Contact us at (520) 477-8117 or FindYours@JijivishaHolistic.com
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*Обязательный вопрос
Электронная почта
*
Ваш адрес эл. почты
Full Legal Name
*
Мой ответ
Pronouns
*
Мой ответ
Can you attend an in-person retreat in Tucson, AZ in Spring 2024? (April-early June)
*
Yes! I'm in
Sorry, I can't make this one but keep me posted on the next one!
Другое:
If you are traveling from out of state, what state are you coming from?
*
Мой ответ
What time investment are you interested in?
*
Day retreat (approximately 12-7pm)
Overnight retreat (I'm interested in booking a Casita for overnight stay)
How do you identify?
*
Black/ of the Global majority
POC
Non POC
How did you hear about my retreats?
*
Мой ответ
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Pescatarian
Другое:
Обязательный вопрос
I understand that in order to secure my spot, I must invest the $250 deposit -- It is not due now, the due date of the deposit will be determined by the confirmed date of the retreat
*
Yes
Обязательный вопрос
I understand that I will have to pay in full prior to my arrival in order to maintain my spot at the event. Deposits are nonrefundable. Payment plans are available upon request and I understand it is my responsibility to communicate if I need an extension.
*
Yes
Обязательный вопрос
What are you hoping to gain from attending the retreat?
*
Мой ответ
Please share any additional information you think would make your experience more comfortable.
*
Мой ответ
Please provide the email address of a person you think would benefit from attending this retreat.
Alternatively, please copy & paste this link to share out with someone you might want to attend the retreat with you!
https://forms.gle/pG78okshRivauKt77
Мой ответ
I understand that I will need to provide negative COVID test results within 24 hours prior to the event. Failure to do so will forfeit entry to the event and no payments will be refunded.
*
Yes
Обязательный вопрос
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