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Personal Retreat with Kerri at Casa Chango Mexico
I'm so happy you are coming!
Fill out this registration form, and I will send you info about confirmation, payment, and travel.
See you soon!
Kerri
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Email
*
Your email
Full name (first and last)
*
Your answer
Where do you live? (City/Town, State, Country)
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Your answer
Do you have any special food needs? (vegetarian, vegan, food allergies, etc.)
Your answer
What are your requested dates for your retreat?
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Please tell us if your dates are set, or if you have general times that work for you.
Your answer
Which room are you requesting?
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Single Occupancy - $2100
Double/Triple Occupancy with buddy - $1800
Other:
For double/triple occupancy, what is the name of your buddy that is joining you?
You must sign up together.
Your answer
What are you most excited about doing on this retreat?
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Deep rest and relaxation
Get in shape
Specific movement/physical tools for my injuries and goals
Feel better in my body
Nutritional guidance
Strategizing my life!
Therapeutic Emotional Movement Sessions
learn some circus/aerial skills
Swim in the ocean!
Other:
Required
Briefly explain why you are coming.
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What do you want from this retreat? The more specific and clear you are, the more you will get YOUR NEEDS MET! Start here, my friend.
Your answer
In a few words, what is your relationship to your body?
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Your answer
Do you have a medical condition we should be aware of?
Your answer
Are you allergic to animals or plants?
Your answer
How did you hear about this retreat?
Option 1
Clear selection
Have you attended a retreat with Kerri before?
Your answer
Is there anything else you want us to know?
Your answer
What is your Instagram handle?
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Your answer
What is your facebook name?
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Your answer
Phone number
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Your answer
Emergency Contact (name, relation, email, phone #)
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Please provide all forms of contact including phone number AND email. We may contact this person in advance to ensure they are ok with being your emergency contact for this retreat.
Your answer
Boom! You did it. You are on your way to your Radical Re-set Retreat! I will send you an email with info about how to pay and secure your spot!
*
If you do not receive an email from me within 24 hours of sending this registration form, please email us at
KerriKresinski@gmail.com
and let me know.
OK. I will look out for your email!
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