Retreat Registration Form

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Welcome sister! We are so excited to be on retreat with you. Please fill out this form to officially register your spot for the One with the Mother retreat. We will email you to confirm your registration details. If you have any questions, please reach out to us at: wildaliveco@gmail.com.

Wild Blessings, Kat & Stef

Email *

What is your name? *

What pronouns do you prefer? *

She/Her

He/Him

They/Them

Other:

What email would you like us to use for retreat communication? *

Please use an email that you check regularly, as important information will be sent out several weeks in advance.

What is your phone number? *

This is to be added to our private OM WhatsApp group.

Do you have any severe allergies or dietary restrictions that we should know about?

Is there anything you would like to communicate to us in advance of the retreat that is important to know about you or your situation?

How did you find out about this retreat? *

Social Media

I know Kat or Stef personally

A friend told me about it

I don't remember!

Other:

Required

Are you interested in sharing a skill, teaching, or some of your wisdom in our community knowledge exchange? *

Yes

Maybe

If you selected YES or MAYBE to the above question, what are some thing(s) you are interested in sharing?

You can share several things below and we'll let you know which ones are the best fit for the community :)

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