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CAMP WILD WOMAN: Payment, Contract + Intake Form
PART 1: Your general information and payment choice

PART 2: The intake form is an opportunity to share your desires, fears, needs, etc. for this retreat. This form helps me help, support and know you on a better, deeper level! The more detailed, the better <3

PART 3: The retreat contract and terms of agreement covers liability commitments, cancellation and payment policy, container agreements, etc. Please read thoroughly and initial to agree to terms.
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General Info
Date *
MM
/
DD
/
YYYY
Name (First/Last) *
Email *
Phone Number *
PAYMENT
For payment, I choose: *
CHOOSE PAYMENT BELOW AND SECURE YOUR SPOT WITH YOUR FIRST PAYMENT! *Please remember $500 deposit (which is included in your first payment) is nonrefundable *

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