Unconditionally Loving Retreat March 2024 - Registration and Release Form

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March 22-25, 2024

Please fill out the information below and click submit. You will receive a confirmation email for each form you fill out. This form and payment are required for attendance at the Retreat.

Please note: Only payment of the Retreat Fee will reserve your spot!

Email *

First Name *

Last Name *

Address *

Phone *

What are the top 1-3 issues you are currently struggling with? *

Disclaimer

The opinions, advice, and counsel provided by Inge Jechart and Kim Grindell are not to be used as a substitute for medical attention, diagnosis, or treatment, or for other professional mental health or medical services. Inge Jechart and Kim Grindell will not be held liable for the use that I might make of the information or advice given.

I understand that while Inge Jechart and Kim Grindell will always exercise every available resource to help me meet my life goals, I may not achieve these goals during or after my work with them. I take full responsibility for any and all actions resulting from coaching with Inge Jechart and Kim Grindell and will not hold them liable for my failure to achieve my personal, professional, spiritual, or any other form of life goals.

Please sign by typing in today's date and your name: *

A copy of your responses will be emailed to the address you provided.

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