Soul Journey: Roots: Darkness and Light Registration Form
10 Month Immersion Program: March - December 2019 * 6:00-8:30 p.m. Jamaica Plain.
Dates: (1st Thursdays): 3/7, 4/4, 5/2, 6/6, Summer Retreat: July 19-21, 9/5, 10/3, 11/7, 12/5
(There will be three additional Ceremonies:, dates to be determined. Six private sessions to be arranged individually)
What are your intentions in taking this soul journey?
Envision yourself a year from now. What changes can you imagine? (in your work, relationships, physical, emotional, and spiritual self, etc.)?
What are the main patterns in your life that are stuck or no longer serving you?
What experience do you have with Healing modalities, meditation, therapy, etc.?
Do you have any specific needs of which you would like us to be aware? (Scent-sensitivity, prefer a chair, sight or hearing needs, allergies, etc.)
Emergency Contact Information: (please include name and phone number):
Payment Options: Paypal to
or send check to Tracy Rich, PO Box 302141, JP, MA 02130
Pay in Full for Entire Program: $1,750
$350 deposit to save your space
Offer payment plan that works for you and we will follow up to discuss (see below)
Describe Payment Plan Offer to discuss:
Add any questions or information that would be helpful to you at this time:
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