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Winter Solstice Retreat Registration
Thank you for joining us!
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Email
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Your email
Name
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Your answer
Preferred Pronouns
Your answer
Phone number
*
Your answer
What are your own personal intentions and desires for our session?
Your answer
Please list any injuries, medical issues, and/or important medical history:
Your answer
My comfort level in the ocean
I can't swim
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2
3
4
5
I am a mer person!
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During our ocean play portion of the day I want to:
Boogie board
Body surf
Surf
Walk mother ocean's shores
Other
Other:
Wetsuit size: Please provide your height and weight so we can get you fitted for a wetsuit (or let us know if you have one already and plan to bring)
Your answer
What grief and loss are you holding and wanting support through?
Your answer
What else is on your heart that you would like us to know?
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$275 registration fee
(sliding scale & scholarships available, please inquire)
*
Your answer
Waves of Love,
Kelsey & J'aime
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