Register

Thanks for showing interest! Please fill out the rest of this form to complete your registration.

Your Name*

Your Email*

Your Phone

What's your preferred method of contact?

Email

Phone

Both

Pricing
All prices include tax.

Every package includes:

Cancellation Policy: No refunds after April 03, 2026

Select Your Event Package*

Are you sharing a room with someone you know?*

Yes

No, I'm good to share with anyone.

Please provide their full name.*

Don't worry, if you need to change this later you can.

How would you like to pay?*

Credit Card*

Send payment via e-transfer to: chickenwood88@gmail.com

Total

Do you require any additional accommodations?*

Wheelchair access, etc

Please share any additional accommodations below:*

How did you hear about the Women's Wellness Event?

Facebook

Instagram

Friends and/or Family

Google

Attended previous events

Tell us a little about yourself.

What has drawn you to the retreat?