7-day Women's Visioning Retreat Registration
Please apply for this retreat by filling the form below for a follow-up phone call. Tell us how many are coming. Please also answer the 2 questions at the bottom. We will email you to schedule a brief interview.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dancing with the Land & Living Spirit Within YOU
A 6-day Shamaninc Visioning Retreat in Durango, Colorado
What interests you about this retreat?
Interest
*
Any history of serious anxiety & depression problems? Are you currently on any psychiatric medication? Please give brief details:
Medical History
*
Submit
Should be Empty: