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~* The Ancestral Empowerment Retreat, Intake Form *~
Thank you for your interest! We would love to know more about you and what brings you here. Spaces are extremely limited. Please fill out the form below, and our team will contact you shortly.
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Email
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First and Last Name:
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How did you hear about this Event?
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Why do you feel called to this Event? What would you love to receive from this Event?
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Have you ever had experience with Family Constellations before?
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Have you ever had experience with the Plant Master Teacher, Bobinsana, before?
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Do you have any Health Issues we should know about, that may affect your participation?
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Are you on any heart / blood pressure medications or anti-depressants?
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Which Option are you interested in?
Option 1: Attending Both Days of Ceremony and receiving 1 Personal Constellation. ($555)
Option 2: Attending One Day of Ceremony and receiving 1 Personal Constellation. ($444)
Option 3: Attending Both Days of Ceremony as a Participant. ($333)
Option 4: Attending One Day of Ceremony as a Participant. ($222)
Other:
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It's highly recommended that you stay on-site during this Retreat. Room rates range from $50-200 nightly. To book accommodations, please contact Stefanie directly at:
Stefanie368@gmail.com
. Will you be staying onsite, and if so, for how long?
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Thank you for your interest. Our coordinator, Loren, will contact you shortly. You may also contact her if needed at:
loren@wildindigoarts.org
. Is there anything else that you would like to share with us?
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