Be Well Beautiful Woman Retreat Registration

We're delighted you decided to join us for the Be Well Beautiful Woman Retreat on October 25-27, 2019 at Gull Lake Ministries. This experience will be facilitated by Demarra Gardner, licensed therapist, certified professional coach, trauma sensitive yoga certified, and more. During the retreat, we will focus on the mind, body, spirit connection, and being whole so you can lead an optimal life. Yoga, holistic sessions (e.g. tapping), meditation, a nature walk, gourmet food, luxurious accommodations, and amazing onsite activities (e.g. bowling), are all included in this phenomenal experience.

Please share the following information so we can properly prepare for you to be with us. Your answers will be held in the strictest of confidence and will be used to help our facilitator give you a wonderful experience and meet your needs to the best of our abilities.

Once the form is complete we will follow up with an in invoice based on your payment arrangements selected which is expected to be paid within 24 hours to secure your spot. If you work for a company that has a professional development budget, you may want to investigate if they can sponsor you to attend. Even if you don't know, asking can never hurt.

If you have any questions about this form or the retreat, in general, please don't hesitate to contact us at demarra@changeagentconsult.com or 269-779-0415.

We can't wait to be with you beauties!

The Black Women About Business Team
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Name *
Email *
Phone *
Organization *
Why do you want to attend this retreat? *
What do you hope to get out of the experience? *
Are you attending with someone else? *
Have you ever attended a retreat before? *
If so, what did you like, dislike about the retreat(s) you've attended? *
We will be offering a myriad of holistic experiences during the retreat. Please check the box if you have experienced any of the following. *
Required
Based on your responses in the previous question, what is your perspective on the holistic things you've tried or things that you haven't tried that we'll be offering. *
Do you have dietary needs? (select all that apply) *
In terms of paying for the retreat, I plan to: *
Is there anything you feel we should know about you before we have an opportunity to meet you in person? Please note this and all answers you provide are confidential. *
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