Miraval Austin 2019
Registration Form for Journey Forward to Self Compassion
Name *
Your answer
Address *
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Phone number *
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Email *
Your answer
Emergency Contact: Name, phone # and email *
Your answer
Payment: $799 (or $649 for Early Bird Discount by 4/30/2019)
50% Deposit Payment Method ($399.50; or $324.50 if prior to April 30th) *
Have you been on a retreat before? *
If so, where and when?
Your answer
Please explain any emotional or medical conditions Joree should be aware of *
Your answer
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