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Rooted In Nature Application
Please fill out this retreat application. Tanya or Melissa will be in contact with details on where to send your payment and other pertinent information.
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How did you hear about this retreat?
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Your answer
First Name
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Your answer
Last Name
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Your answer
Email address
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Your answer
Mailing Address
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Your answer
Phone Number
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Your answer
Do you have any food allergies or special dietary restrictions?
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No
Yes
If, Yes, you do have food allergies or special dietary restrictions. Please explain.
Your answer
Are you requesting to rent a tent for $35? There is a limited amount available.
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No
Yes
Any other details you think we need to know for the retreat weekend about you?
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