QUEEN, REMEMBER YOUR REIGN Retreat Application Form 2027
Journey to the royal sites of Ireland’s Ancient East, commune with the land and resurrect your gold.
1. Your Name
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First Name
Last Name
2. Your Email Address
*
example@example.com
3. Your Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
4. Emergency Contact Name (Someone who can be contactable in the event of an emergency when you are on retreat in Ireland from 21 April - 1 May 2027)
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First Name
Last Name
5. Emergency Contact Email Address
*
example@example.com
6. Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
7. What are your primary intentions for wishing to join the Queen Remember Your Reign Retreat to Ireland's Ancient East 2027?
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8. What would you hope to achieve from the Queen Retreat to Ireland's Ancient East with Eimear Stassin and The Irish Wisdom School?
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9. Do you have any particular dietary requirements, health needs or mobility issues that we need to be aware of to ensure you have the most comfortable and transformational time in Ireland (some of the sites we visit are on uneven / steep ground and/or require walking to)?
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I wish to be part of a small intimate group of people to retreat to Ireland's Ancient East in 2027 in the fullness of my own self-awareness, my needs and those of the group - please add your signature below.
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