Retreat Application

Welcome to the
Ritual, Ceremony and Medicine Wheel Retreat!
Let's get to know each other a little more before we embark on this HEALING journey together!

Full Name (First, Middle and Last Name)*

Email Address*

Phone*

Mailing Address*

Birth Details (Date, Time and Location)*

What Interests You About this Retreat?*

What kind of transformation are you looking to experience through this process?*

(Self, Career, Relationships, Behavioral, etc.) Please be as specific as possible so we can fully understand your goals and expectations.

Occupation and Relationship Status*

(Single, Partnered, Parent, etc.)

Would you like to be added to our email list?*

Referred By*

How did you find out about Green Gardens Healing?

I understand I must send payment before services are initiated and there are no refunds including cancellations with less than 1 month notice.

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Once you submit your application kindly continue to payment to complete your registration. Both application and payment are required before an appointment is made. And, if you haven't done so already get to know us HERE!

Welcome to the Ritual, Ceremony and Medicine Wheel Retreat! Let's get to know each other a little more before we embark on this HEALING journey together!

Welcome to the
Ritual, Ceremony and Medicine Wheel Retreat!
Let's get to know each other a little more before we embark on this HEALING journey together!