Ashes to Ashes - Registration Form
REGISTRATION FOR ASHES TO ASHES IS CLOSED.
ONLY THOSE CONFIRMED AS REGISTERED MAY FILL OUT THIS FORM
THANK YOU FOR YOUR UNDERSTANDING

Ashes to Ashes | An Immersion for Womxn
with Kate Shela + Amber Ryan
October 9 - 12
10am - 2pm LA Time each day

Registration Requirements :
1. Fill out this registration form (Note: Answers are limited to a word count of 100, so please be concise)
2. Send a payment through the website www.the360emergence.com/ashestoashes
3. Email a photo of your face in which we can see your eyes to the360emergence@gmail.com

Please Note : Your registration will not be complete until all three of these pieces are received.
You will receive a Welcome letter no later than September 18th
All information disclosed will be held in confidentiality.
Email address *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy