RISE IN TEOTIHUACAN retreat registration form

We are so thrilled to have you join us in Teotihuacan, Mexico for a powerful journey of healing and transformation.

Please fill out the form below to complete your registration.

If you have any questions you can email Marisa directly at marisa@healwithalchemy.com

-Marisa

Name

First Name

Last Name

Email

Phone

(###)

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Date of Birth

How did you find the retreat?

How Did You Register?

Room Type

Rooming With A Friend?

Please put the name of the person you would like to be roomed with here

First Name

Last Name

Dietary Restrictions

Please name any dietary restrictions here

Is there any physical or medical information you’d like us to know in order to support your comfort and safety?

Emergency Contact Phone

(###)

###

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Tell Us More About You

We would love to get to know you. Tell us a bit about your healing journey, where you’re from, and what you’re hoping to receive from this retreat. Share as much as you feel called to!