Healing Waters 2023 Registration
Thank you for your interest in Healing Waters Retreat at Summerlake Hot Springs. Please fill out the following registration form and we will get back to you by email to confirm the availability of your housing choice and send information for processing your payment to finalize your registration and secure your spot. 
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Name *
Pronouns
Phone number *
Email address *
Age *
Why do you want to participate in this retreat? *
What is your prior experience with aquatic therapy, aquatic dance, and/or contact improv? *
Is there anything else you would like to share about your experiences and relationship with water?  *
How did you hear about the Healing Waters retreat? *
If you have a special registration code, please enter it below.
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