Shamanic Healing & Consciousness Retreat with Maestro Manuel Rufino: November 21st-25th 2018
Thank you for hearing the call to join us for this special retreat. We are collecting a list of those who are deeply interested in attending. Please fill out this form to the best of your ability and you will be contacted with more information soon.

*Filling this form out does not guarantee your spot. It is simply the first step of the registration process, and a way for you to save the date and start your planning process.

The cost of the retreat is still being determined, and a more detailed email will be sent to you soon..
THANK YOU!

First Name *
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Last Name *
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Email Address *
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Phone Number *
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Your Home city, state, and country: *
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How did you hear about this retreat? *
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Do you have previous experience or interaction with Maestro Manuel Rufino or know Brooke & Shola? *
Do you have previous experience with Shamanic Healing Ceremonies? *
What is your intention for attending? *
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Emergency Contact Name and Phone Number *
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Do you have any health conditions, medical concerns, or restrictions? (if no write N/A) *
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Do you have any food allergies or special dietary restrictions? If so, please explain *
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This retreat will have two options, tent camping and shared room accommodations. It is our recommendation that all participants are hosted on the property. Please confirm your desired request. *
On a scale of 1-10, how serious and committed are you about attending this retreat? *
Do you have any comments, specifications, or questions at this time? *
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