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Women & Wolves
Intake form for April 3rd - 6th Retreat
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Email *
Please tell us your full name, age and profession.
Can you tell us a bit about your background and what is calling you to do this work?
Do you have a regular spiritual practice, if so please explain.
Do you suffer from any illness: physical or mental? If yes, please provide relevant details.
Are you taking any medication?
Have you joined either of the facilitators retreats or offering in the past? Please give details?
Are you committed to yourself and your highest potential? Are you willing to take fully responsibility for change?
Have you been recommended or how did you hear about us?
If there are any details we may have missed please provide them here.
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