Awakening Woman retreat registration form

Please fill out the form below to complete your registration.

I am so thrilled to have you join us in Sedona, AZ for a powerful weekend of healing and transformation.

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

-Marisa

Name

First Name

Last Name

Email

Phone

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Dietary Restrictions

Please name any dietary restrictions here

Coming With a Friend?

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

First Name

Last Name

Tell Me More About You

I would love to get to know you. Tell me 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!

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

Emergency Contact Name

Emergency Contact Phone

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