Course Registration Form

AYDA x INB Ladies Wellness Retreat Registration Form

Held by the Land: A Retreat for Creativity, Grief Support, and Loving Through Addictions.
Schedule:

Friday, Sept 27 6:00-9:00pm

Saturday, Sept 28 10:00am-6:00pm

Sunday, Sept 29 12:00-6:00pm
Participant Name

First NameLast Name
Birth Date

MonthDayYear
Participant E-mail
example@example.com
Mobile Number
What is your cultural background?

GwichinInuvialuitBothOther
What motivated you to apply for this retreat?
If chosen, what are you hoping to gain from attending this retreat?
Do you have any previous experience with retreats or support groups related to these topics? If so, what did you find most helpful or impactful?
Is there anything else you’d like us to know about your journey or what you hope to bring to and take away from this retreat?
Hai' Cho
Should be Empty:

AYDA x INB Ladies Wellness Retreat Registration Form