2017 September Retreat Booking Form
BOOKING FOR THE SUMMER RETREATS 2017 IS NOW CLOSED. WE WILL ADD YOUR NAME TO A WAITING LIST FOR THE NEXT RETREAT (DATES TO BE CONFIRMED).

Each retreat has a minimum of 5 participants and a maximum of 8 participants. Each person will be offered a place in a chronological order at the time their form is received. The price for these retreats is $2500 each. ($2100 for volunteers and $1750 for walkwithmenow.com members)

Email address *
Are you a member of Walkwithmenow.com?
As detailed as you can, please let us know why you feel this event is for you. *
Your answer
Full Name: *
Your answer
Email Address *
Your answer
Age
Your answer
Sex *
How long have you known of Inelia's work? *
Your answer
What attracts you to this retreat? *
Your answer
Please list all the tools you have used: *
Required
Please list all other Classes / MP3s you have studied: *
Your answer
Have you attended any other of Inelia's events? If so, please list:
Your answer
What is your inspiration for attending this retreat: *
Your answer
Would you say you are in a path of empowerment or a spiritual path? Or both? *
What other teachers/guides do you study and find empowering and or helpful? *
Your answer
Do you plan to stay at the Shamanshack? If so, what is your preferred accommodation? *
Required
Do you have a clear reason or reasons for being on Earth? Or are you still discovering the reason/s? *
Your answer
Please let us know the dates you plan to arrive and depart. Earliest arrival for August is the 16th. There is no early arrival date for September. Please note that you will be responsible for your food and drink supplies outside of the event dates:
Your answer
Food options:
Do you have food or other allergies? If so please list:
Your answer
There is a $400 discount for non WalkWithMeNow.com members who want to volunteer their time cleaning, cooking, driving and general support. Are you interested in this?
If yes for the $400 volunteer discount, how can you help?
Emergency Contact Information:
Your answer
Anything else you would like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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