'Return to Essence' New Mexico Retreat
It is an honor for me that you would like to be part of this retreat!

I have put a lot of energy into every single detail so that it can be an unforgettable experience for you, and I'm confident it will be. The location I've chosen is very dear to my heart and I'm excited for you to connect with it too!

To register, please fill out this form and submit payment. You can submit your payment in full or send the first payment installation as a deposit and the remaining installations by no later than September 20th, 2023.

Upon completion of this form, you will receive an email confirmation with instructions on how to complete your payment so that your spot will be reserved. Please check your Spam if you don't see it in your Inbox.

***Your spot will only be reserved once you have completed this form and sent your payment or deposit***

If you have any questions or concerns please email me us luna@lalunamedicina.com or lalunamedicinateam@gmail.com

See you soon!

In service,

Luna
Email *
Name *
Last Name *
Preferred Name or Nickname
Phone Number *
Age *
Why are you called to join the Return to Essence retreat?
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Do you have any allergies or food intolerances? If yes, please specify. 
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Do you take any medications? If yes, please explain which, the dose, and what for.
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Do you have any physical or mental conditions (for example, autoimmune illness, chronic pain, depression, eating disorder, high blood pressure, heart disease, epilepsy, etc...). If yes, please specify.
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Are you pregnant or breastfeeding?
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Where will you be visiting from? Mode of transport?
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If you are traveling by car, are you willing to pick up and carpool with other participants in the group? 
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Which accommodation type do you prefer? *
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Would you like to pay for the retreat in full or in installations? *
How would you like to pay? *
Have you read and do you accept our cancellation policy described on the retreat website?
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How did you hear about the retreat?
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Anything else you would like to add?
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