Shamanic Womancraft Retreat

Registration Form

Please complete your registration process by providing us with some information about you.

General Information

I am signing up for:

First Name

Surname

Street Address

City

Postcode

State

Country

Home Phone (with area code)

Mobile Phone (with area code)

Email Address

Date of Birth

Family

Married /Partner?

Children?

Children Name & Age (if applicable)

Health

Any allergies/things we should be aware of, such as anaphalaxis?

Any dietary restrictions and special requirements for catering purposes?

Current & Previous Illness

Are you currently taking any medication?

Emergency Contact

Emergency Contact Name

Relationship to you?

Emergency Contact Phone (with area code)

Occupation & Interest

Occupation

What interests you about the Shamanic Womancraft Retreat?

Logistics

Will you be camping onsite, or staying elsewhere?

Any special needs re mobility or sitting circle

Photo

Please upload a photo of yourself

(So that we can recognise you when you arrive!)

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

Shamanic Womancraft Retreat

Registration Form

General Information

Family

Health

Emergency Contact

Occupation & Interest

Logistics

Photo

schoolofshamanicwomancraft

Podcast

31 – Connections – Laura – Heal Birth – Heal Earth

30 – Open – Laura Jayne – Wilderness Within

29 – Knowing – Sonia – Red Thread Healing

Learn

Contact

Thanks for your interest!

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