Mini Retreat Request Form
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How many people will be in your group?
1
2
3
4
Preferred Dates or Timeframe
Is this for a special occasion?
Which experience would your group prefer?
🌌 Learn Together (a class we do as a group)
🌙 Receive Together (individual readings or reiki + massage/treatment)
If “Learn Together” was chosen which most interests you?
How to recieve guidance from your spirit guides
How to Read Oracle Cards for Yourself
Introduction to the Chakras
How to use a pendulum
Other (Write in comments at end of form)
If “Receive Together” is chosen which experience with Jennifer most interests you?
Soul guided reading
Mini reading and reiki energy healing
If “Receive Together” is chosen which experience with Shawna most interests you?
Scalp Treatment
Foot Treatment
Scalp, neck and face massage
Comments/Questions
First name and email address of invitees.
Submit Form
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