ART OF SELF HEALING RETREAT
APPLICATION FORM
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Email *
First Name *
Last Name
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Do you need Accommodations as well? 
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If yes, Please choose Room Type Preference
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Birthdate
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You understand that the retreat date is from the 15-21 February 2023 *
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Emergency Contact Details 
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Email
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Do you have any allergies?
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Are you fluent in English?
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Have you ever joined any workshops or self healing retreats before?
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How did you hear about us?
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What are you most excited for? *
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