Bless My Soul Retreat Registration
Initial application for magik school
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Email *
 First and Last  Name *
What name you like to be go by *
Preferred Gender Pronoun *
Address *
Best number to contact you *
Do you have any mental health challenges? *
If yes, please name.
How do you take care of yourself with this challenge? *
Social Media Handles
Age *
Where are your ancestors from?
Gender *
Training(s) and Certifications *
Initiations-List any spiritual initiations you have had done to you. *
Sexual Orientation *
Language(s) spoken fluently
Why do you want to attend Bless My Soul retreat? *
Religion(s) you grew up with *
Religion(s) you practice presently *
What do you hope to come away with from attending the retreat? *
Birth Date, Time and Location *
How did you hear about the retreat? *
How do you take care of your body in workshops of longer than 45 min.? *
Will your body need assistance during the retreat? *
Do you have any dietary restrictions? Please list *
Do you have any allergies? such as chemical sensitivity, grass, mold etc. Please list *
A deposit of $100 is due by Oct. 18th 2019 to hold your spot. No refunds will be given. Payment plans are available. *
What kind of room do you prefer? *
Please name a retreatant(s) you prefer to room with (roommates not guaranteed but we will try)
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