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INTEREST FORM

Women's Experiential Group Retreat

January 29th to February 1st, 2026

Cost: $2000; A non-refundable deposit of $500 will be due upon application acceptance to secure your spot, balance of $1500 due by January 15th.

1900 Church St Suite 403, Nashville, TN 37203, USA

(615) 281-9139

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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