2025 Retreat Information Form
For New Clients
***all fields required!
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Jennifer?
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What transformation are you hoping to achieve while attending the retreat?
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What makes it so important for you to solve this issue?
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Please describe the personal development work you have done (Therapy, coaching, energy medicine, retreats, events etc.) and share how you responded to these services…
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What are you willing to INVEST in a retreat?
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Money is no object, let's GOOOO!!
I have some money to invest, but I ain't made of dolla' billz YO.
Right now the well is a little dry, dammit.
Depends on how much you impress me...
Anything else you want us to know to help serve you better in the experience of the retreat?
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Do you have any dietary restrictions? If Yes, explain below.
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Do you have any physical restrictions? If Yes, explain below.
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Submit
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