Picking Up the Pieces Together; Empowered Healing Moms Retreat, in Puerto Rico

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You are about to reserve a spirit & soul connecting, transformative healing experience built just for you. Within 24 hours you will receive an email after submitting this form and a PayPal invoice to reserve your spot. You must pay the invoice within 48 hours for your spot to remain on hold.

ALL ANSWERS ARE REQUIRED.

Email *

The Leftover Pieces - Healing Together Moms Retreat

"Empowered Healing; Soul & Spirit Connections Retreat" Jan. 15-20, 2025

Please tell me you full name & physical address *

PayPal email address (IF different from the one you are using now) *

Best Contact Phone number (CAN I TEXT YOU?) *

Please put your precious child's full name AND date of birth AND date of loss *

Why is attending this retreat important to you? What do you hope to take away? *

ALL Casitas are equal in size and amenities (with a $750 non-refundable deposit) See webpage for how many are still available (limit 10). Please tell me your favorite simple snack. *

In helping us better customize this experience, can you tell us, what is the most common time you get up and go to bed? Morning person or night owl? *

Will you be paying in full or do you need a payment plan? *

Pay in Full (always a 5% discount)

Split it Up into monthly payments - (billed & due monthly on the 15th)

Other:

Required

This is a spirit connections retreat, hosted by Melissa and the Evidential Mystic Medium team of Angel the Medium and his wife Lisa Dawn (see Bios on retreat website page) Please tell your experiences to date with mediumship readings, signs, astrology .... any of it. All readings come only from light for good & healing connection. *

Are you vegan or vegetarian &/or require a special diet (it is no problem) or have other needs we can accommodate? *

Are you a snacker or meal eater primarily - or both? List 3 favorite snacks. *

What type of meals/foods do you eat regularly - or wish you ate more regularly? Favorites? Preferences? *

Any additional questions or comments right now? *

Upon submission expect to receive an email followed by a PayPal Invoice for the $750 deposit (or payment in full if you choose which always gets a 5% discount) *

OK GREAT! I understand I will need to pay the $750 non-refundable deposit for my room to be on hold for me.

I have read and understand what's included and not included as well as the cancellation policy. [This info can be found on the webpage, right above "What healing in Paradise Looks Like"]

Required

Connecting with our Children - in Soul & Spirit!

Come Restore, Reflect & Heal - Together!

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