Application for the Ascension Day Retreat with A'sha
Your Full Name
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First Name
Last Name
Telephone
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Area Code
Phone Number
Email
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example@example.com
Where do you live? (City, Country)
*
Why are you interested in this retreat opportunity? What do you hope to gain from your time with A'sha?*
*
Please provide a brief background of your commitment to and experience with self development, consciousness expansion, and what tools or practices for your personal growth you use often.*
*
Due to the amount of energy and expertise involved, this retreat is priced accordingly. Are you willing to invest a significant amount in yourself?
Yes
No
How did you hear about us?
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Do you have any questions or further comments you'd like to share with us?
Click Here for Application Submission
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