With Love We Rise April 2019
Email address *
What is your name?
What is your phone number?
How did you hear about the retreat?
Are you taking any medication or supplements?
Is there anything happening in your body heart and mind that you would like to share and shift?
What is your daily/weekly diet like? What is your relationship to food?
Do you have a personal practice? Please share a little bit about it.
What is your experience with silence and collective silence?
What is your highest vision for yourself?
What would you like to receive from your experience?
What kind of art making is closest to your heart at the moment?
Anything else you would like to share with us.
I have made a $1000 non refundable deposit to alyona.mindlin@gmail.com on VENMO.
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