Registration for FERTILE FIRE: A Weekend of Wonder and Wildness for Women
Please fill out this form so Tracey and Kimber can get to know you a bit before we dive in!
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Email *
Full Name *
Nickname or Soul Name
Pronouns *
Phone *
Street Address *
City, State, Zip *
Date of Birth *
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Occupation *
What calls you to this program?  Do you need time away from responsibilities?  Are you hoping to connect with other women?  Do you need space to take care of yourself?  Do you need more time to access your creativity? (or whatever!) *
What is your greatest and deepest longing in your life right now? What are the deepest questions you find yourself pondering? *
Do you have any dietary restrictions? Please explain. *
How did you hear about this program? *
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