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Vibrant Living Women's Retreat
January 14-17, 2027
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First & Last Name *
How did you hear about our Retreat? *
Email  *
Phone *
Address (Street Name, City, State, Zip)
Birthday
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DD
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YYYY
Food Allergies, Sensitivies, or STRONG dislikes *
Any medical conditions that we should know about?
Emergency Contact Name *
Emergency Contact Phone & Email  *
Are you coming with a friend and would like to share a room or bed with them?  *
Do you have any sleep sensitivities or sleep needs? (Sleep apnea, white noise machine, sensitivity to snoring)?  *
Do you snore?  *
If you would like to make a scholarship donation to help support a woman who may not otherwise be able to attend, please state the amount below, which will be added to your balance. 

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What inspired you to register for the Vibrant Living Women's Retreat?  *
Which Retreat are you wanting to attend? 
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Choosing your acommodations:
Our retreat is a sleepover-style arrangement, so unless you snag the solo king in a solo room, all other options encourage a communal atmosphere where participants can get to know each other and foster new friendships. Sharing a space enhances the retreat experience by creating opportunities for bonding through shared experiences. Fun fact: several years ago, two amazing women who did not know each other yet roomed together, and they became such good friends that they went skydiving together after the Retreat. Remember, strangers are only strangers until we become friends. (Pricing is per Goddess)
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