RefresHER 2025 Registration Form

2026 RefresHER Women's Healing Retreat

September 4-6, 2026 | Orlando, FL
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone*

Area CodePhone Number
How did you hear about the retreat?

Web SiteFriend/ColleagueSocial MediaOther
What do you hope to gain from the retreat?
Do you have any dietary restrictions? If yes, please list.
T-shirt size?
Please Note:

This form uses Stripe Checkout. This allows you to pay using a credit card, Apple or Google Pay, Amazon Pay, Cash App Pay, or Afterpay (subject to approval).

If you wish to use ZELLE, please use coupon code "ZELLE" and send full payment to ghiakellycoaching@gmail.com.

Registration will not be finalized until payment is received.
REFUND POLICY: Registration fees are only refunded if the event is cancelled by the organizer. If the event is cancelled, registrants will be contacted and can choose whether to be refunded via their original method of payment or have their fee credited towards future events or other services provided by Dr. Ghia Kelly. Refunds will be issued within 30 days of a cancellation.
Room Options:

Each room option includes lodging, 4 meals, retreat activities, and swag bag
- King Suite (King bed with private bathroom)
- Double Occupancy Room (One of two single beds in a shared room with a shared bathroom)
*Prices are per person. King suites are for single occupancy only.

My Products*

King Suite$650.00

Quantity

Double Occupancy Room $525.00

Quantity

Enter coupon

Total $0.00

2026 RefresHER Women's Healing Retreat