Stay Whole Retreat 2019

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Intake form

Email *

Your name *

The project aims to prioritize an underrepresented group of women in the Wellness Industry. So that I am best able to serve you: please let me know, which you identify as: *

of African/Black/Carribean decent

Latina

Indigenous

Other:

Please tell me a little bit about yourself; your creative craft, interests, aspirations, and current challenges (if any) when it comes to practicing self-care *

Prior to the retreat you will be required to attend at least 3 out of 4 weekly creative writing/storytelling workshops in September (5th, 12th, 19th, and 26th) will you be available for this commitment? Please explain in the other section, if necessary. *

Yes

Other:

Have you attended one of EGO's self-care sessions? *

Yes

Required

Are you available for the retreat October 25-27, 2019? *

Yes

Are you willing/able to make the financial investment to attend? ($350 + HST) *

Yes

No, add me to the waitlist

Other:

How did you hear about this retreat?

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