2026 Women's Healing Circle Booking Form ✨
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select your Healing Circle session(s):
*
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June 25th, 2026
7:00pm - 8:30pm
$45.00 CAD
$
45.00
CAD
Quantity
1
2
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7
8
9
10
Item subtotal:
$0.00 CAD
$
0.00
CAD
August 20th, 2026
7:00pm - 8:30pm
$45.00 CAD
$
45.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00 CAD
$
0.00
CAD
September 24th, 2026
7:00pm - 8:30pm
$45.00 CAD
$
45.00
CAD
Quantity
1
2
3
4
5
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7
8
9
10
Item subtotal:
$0.00 CAD
$
0.00
CAD
October 8th, 2026
7:00pm - 8:30pm
$45.00 CAD
$
45.00
CAD
Quantity
1
2
3
4
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7
8
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10
Item subtotal:
$0.00 CAD
$
0.00
CAD
Session Bundle - Includes all FOUR (4) events
June 25th, August 20th, September 24th and October 8th.
7:00pm - 8:30pm
$165.00 CAD
$
165.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00 CAD
$
0.00
CAD
Payment Methods
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
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Expiration Month
Expiration Year
2026
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2040
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Expiration Year
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