WILD WOMAN RETREAT 2026
Your name
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First Name
Last Name
Your email address
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example@example.com
Your Instagram (Please watch your email for a response from me but in case it goes to junk, I will use IG as a back-up means of communication!)
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Are you planning to attend alone or with a friend or loved one?
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Just me
Me + 1
What caught your attention about this particular retreat? What are you most excited about?!
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What is your self-love or personal empowerment goal currently?
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What are some words you would use to describe yourself?
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Do you have any food allergies or dietary restrictions?
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Do you have any medical, health, mental health or physical conditions or accommodations we should be aware of?
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Where will you be travelling from?
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What is your preferred accommodation type?
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Shared glamping tent (INCLUDED - shared with 3 other attendees)
Private glamping tent (+ Upgrade fee applies)
How would you like to pay?
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Pay in full ($999 CAD plus tax)
2 payments of ($500 CAD plus tax)
What is your intention or goal for attending this type of retreat experience?
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How did you hear about this retreat?
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Submit
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