Registration
Registration form Maven Medicine ~13 Moons of Meditation, Motivation & Manifestation
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
Program Name & Date *
Program Location *
Have you worked with Ama'ritday before? *
Required
Which events? *
Required
What Makes Maven Medicine ~13 Moons of Meditation, Motivation & Manifestation Special
Create Sacred Space for womyn to replenish, be seen, heard and honored, Empowering one another through sacred sistarhood and community, and learn your WAVE(Wellness Advocate Values Education).
By creating a safe space, empowered retreats and training opportunities, we honor and collaborate you, build community, facilitate information and resource exchange.
To Complete Registration
You must submit this form by click submit at the bottom of the page and by making payment.
We require a $100 US deposit and we use PayPal for that. Payment must be paid in full by the day of the event.
Please use these links for paypal.me/amaritday or venmo; https://venmo.com/maritday-rodriguez to make your payment.
Please send as Friends and family(I don't charge sales tax). 
**When you make your payment, do not forget to include:
1. Your name
2. Your email that you wish to use for confirmation
3. Program you are taking 
4. Program location
We need this additional information to process you into the correct program.
You will receive an immediate confirmation from PayPal when you make your payment.
You will receive a confirmation from The Matrona within the next few days when the payment is processed with all the logistical information.
Thank you!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms