Picking Up the Pieces Together; Healing Retreat Casa Alternavida, Rio Grande, Puerto Rico

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You are about to reserve a soul healing, transformative healing experience built just for you. Within 24 hours you will receive an email after submitting this form and a PayPal invoice to reserve your spot.

ALL ANSWERS ARE REQUIRED.

Email *

Casa Alternavida, Rio Grande, Puerto Rico

Please tell me you full name *

PayPal email address (IF different from the one you are using now) *

Best Contact Phone number (can I text?) *

Where do you live? *

Please put your precious child's name & date of loss by suicide *

Why is attending this retreat important to you? *

Which room would you like to reserve (with a $600 non-refundable deposit) See webpage for ones still available *

Blissful Butterfly (Potential to share - by choice)

Humble Bee (deluxe single)

Hermit Crab (shared room)

Sleepy Serpent (shared room)

Lucky Dragonfly (single)

Mindful Moth (single)

Creative Coqui (shared)

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Will you be paying in full or do you need a payment plan? *

Pay in Full

Split it Up (billed monthly on the 15th)

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Do you require a special diet (no problem) or have other needs we can accommodate? *

Any additional questions or comments right now? *

Upon submission expect to receive an email followed by a PayPal Invoice for the $600 deposit (or payment in full if you choose) *

OK GREAT! I understand I will need to pay the non-refundable deposit for my room to be on hold for me.

I have read and understand what's included and not included as well as the cancellation policy. [This info can be found on the webpage, right above "What healing in Paradise Looks Like"]

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