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Passion and Purpose Wellness Retreat Application
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Email
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Your email
Preferred First Name?
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Last Name?
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Pronouns?
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Phone Number?
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Street Address?
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Your answer
City?
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State?
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Zip code?
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What are you hoping to get out of the experience? What do you think you would bring?
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At least two spots are designated as "pay what you can" and reserved for participants who might otherwise not be able to take advantage of this opportunity due to systems that perpetuate inequitable access to financial resources. Would you like to be considered for one of these slots?
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We are committed to making this experience an inclusive one. If you need any accommodations or supplemental resources to support your full engagement in this program, please share details here.
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If there is any other information that you would like to share at this time, please feel free to add it here.
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