Water Fasting - Cleansing Inner Waters

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Timing: 11-16 January, 2025
Location: Lake Atitlan, Guatemala
Contact: ane.violetta@hotmail.com

Email *

Full Name *

Birthday *

What's your Instagram name? *

Where will be coming from? *

Why is the reason you would like to join us? Tell us a bit about yourself. *

Have you water fasted before? And if yes, how many days? *

Have you ever done any fast before? If, so what type and for how long? *

Are there any health-related issues we should know about? * *

Do you belong in any of the below categories? *

Pregnant

Type Diabetes 2

Other:

What room option would you like? *

Master Bedroom (single occupancy, private bathroom) 1 spot only - 1,990 USD pp

Master Bedroom (single occupancy, shared bathroom) 1 spot only - 1,880 USD pp

Double Bed (shared bedroom, shared bathroom) - 1,660 USD pp

Double Bed (shared Tipi, shared bathroom) - 1,330 USD pp

How would you like to pay? *

Wise application (bank transfer between international bank accounts) in USD

Bank Transfer in USD

How do you prefer to pay? *

Full amount

Instalment Plan

Please acknowledge that you will be required to sign a disclaimer before arrival. * *

Yes

Required

Please acknowledge that payments are non-refundable. *

Yes

Your exclusive code - write below

How did you hear about the retreat? *

Violetta

Annika

Sofia

Social Media

Other

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