I'm Awake - Women's retreat France 2024 
Your name *
Email
 *
Why are you called to attend?
What accommodation are you seeking 
(single or shared rooms available)
 *
Do you have any dietary requirements?
Do you have a history of trauma or trauma related experience that would be helpful for us to know?
Is there anything else you wish to share that would support your experience?
How did you hear about this retreat?
To secure your place a non refundable deposit of 500 Euros is required.  

Please transfer after completing this form adding your name to the description.  

You will receive confirmation of a place when it has been received. You can email me on katerina.fortun@gmail.com. 

Account holder: Katerina Fortun
BIC: ARSPBE22
IBAN: BE27 9734 5104 4273 
Argenta address: de Berlaimontlaan 14, 1000 Brussel
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