Healing Retreat Registration
Dear applicant, thank you for your interest in our first healing retreat of the series! Please fill out this form to confirm your registration and share more with the facilitators about who you are. Space is limited. We will let you know once we finalize the list of participants. Please note that there will be 3 more retreats after this, spread out throughout the year. Priority will be given to returning participants in the following series but we will also do our best to accommodate new applicants.
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電子郵件 *
First & Last Name *
Pronoun *
Phone Number *
What intrigued you about the retreat? What are you hoping to receive? *
Do you need any accessibility accommodations? *
Do you have any dietary restrictions? *
Registration fee is on a sliding scale, $50-$200. All of the proceeds will go towards the 4 POC healers and meals/snacks. How much are you able to pay? Do you need scholarship to cover part of the $50 minimum cost? *
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