MSC Intensive EOI/ Waiting list Form

MSC Intensive Expression of Interest/Waiting List form

November 14-19 2025 (Cost $1350) with Adele Stewart and Tina Gibson: adelestewartmbi.com
Please complete this form if you are interested or if full would like to be added to the waiting list for the next retreat. It is quite likely that you will receive a place, so please make a note in your calendar and it would be appreciated if you notify Adele if you no longer wish to be on the waiting list.

If a place comes up you will be texted and emailed and given 48 hours to register. If we don't hear from you then your place will be offered to the the next person on the waiting list.
Name*

Preferred First NameLast Name
E-mail*
example@example.com
Mobile Number*
City of residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Questions or comments:
.
Should be Empty: