Mental Health Retreat Sign-Up and Inquiry Form 🧘♀️✨
Please fill out the form to register or request more information about the retreat.
How would you like to proceed?
*
Sign up for the retreat
Request more information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please share the date you would like to attend the event as well as any additional questions/comments or PROMO CODES.
I understand that I will be contacted by IAM Enroot Therapy to complete my registration process once I submit this form
I understand if my preferred date is fully booked, I will be offered additional dates to attend.
I understand the full cost of the 3 hour Retreat is $300.00 and I will be billed via IvyPay up to 5 days before the event.
Submit
Should be Empty: