Women's Vision Fast Registration Form
After filling out, you will receive instruction via email as to how to make your deposit.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In short summary, what draws you to this vision fast? (We will get a chance to discuss further.)
*
Is there anything significant with your physical or mental health that we should discuss with you prior to the fast?
*
What kind of previous experience do you have camping and hiking? (It's okay if you don't have any.)
*
Which Tier do you imagine that you will be paying? Your response here does not commit you to this tier, but it does help us get a sense of our revenue outlook.
*
Tier One
Tier Two
Tier Three
Tier Four
Please make sure that you obtain and read "The Trail to The Sacred Mountain: A Handbook for an Adult Wilderness Rite of Passage" from the School of Lost Borders Press. It is part of your preparation. Your confirmation email with payment instructions will include the name of this book, too, for easy reference.
Understood. Will do.
How did you hear about this program?
Instagram
Facebook
Flyer
Email
Word of Mouth
Other
Register
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