Wellness Retreat Registration

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I'm so excited you have decided to attend! Please complete the form below. Please email me with any questions you may have: andrea@flyforwardllc.com

Email *

Please list your first and last name. *

Please list your cell phone number. *

Please list an emergency contact name and phone number. *

Where are you traveling from? *

Will you be arriving in your own vehicle, and if so, how many other guests are carpooling with you? *

The event is Friday check-in with Sunday or Monday check out. When do you plan to check-out? *

Please select the activities and workshops you plan to attend. See event website page for schedule. *

Beachside Recess (Sat and/or Sun)

Ruling your Routine

Building a Bodacious Budget

Crushing Career Goals

Group Dinner at The Crab Trap

Sight Shift: Be courageous and kind with a secure identity.

Let’s talk about Love: featuring The 5 Love Languages by Gary Chapman

Eating & Exercising, Epically!

Required

Are you able to stay for the duration of the Retreat agenda for the Closing Comments on Sunday, ending at 3:30 PM? *

Yes

As a reminder, room space is limited and based on double occupancy. There are a few single beds available. Plan to share a room and a king bed with a new friend, unless you note otherwise below. Do you have any special accommodation requests, such as rooming with an attending friend or preference for a single bed? *

Do you have any food allergies or dietary restrictions? Please list: *

How did you hear about this workshop? *

Facebook

Friend/Family

Church

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