Application for Shamanic Retreat Costa Rica April 9th

Please fill out this application before your call with Susan about her retreat at Blue Spirit Yoga Center, Nosara, Costa Rica April 9th- April 16th, 2022
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code / Country
Phone Number*

Area CodePhone Number
How/ where did you hear about Susan
How familiar are you with guided journeying into the spirit realms?*
Do you have a regular spiritual practice, and if so, please share some about your spirit path and whom you have worked, studied and/or trained with?*
What are the biggest challenges you're facing right now?*
On a scale of 1-10 how committed are you to doing whatever it takes to break through your resistance, dismantle disempowering patterns and stories and co-create the most fulfilling, purposeful life possible? *
Scale of 1-10 ( 1 uninspired ~ 10 100 % COMMITTED! )
Spaces are limited. If you're selected what do you hope to gain while on retreat?*
By submitting this application, you agree to be contacted by Susan Jenkins about her upcoming retreat.

You will be added to Susan's mailing list to receive future emails about events, offerings & teachings from: support@shamanichealingwork.com You can unsuscribe from her list at any time.

When you click Submit, you'll be taken directly to Susan's calendar to schedule your Free call with her. If you've already scheduled your call, there's no need to schedule again.

Thank you!
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Please fill out this application before your call with Susan about her retreat at Blue Spirit Yoga Center, Nosara, Costa Rica April 9th- April 16th, 2022