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Somatic Stretch and Fractal Anatomy retreat registration

Please fill out this form to get started on some personal, transformative time! We only accept a limited number of students per retreat in order to provide the individual attention that is required for flight!

If a workshop is in TBD status, please fill out the form to be contacted first when details are determined. 

Click the button below to start.

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Question 1 of 11

Fill out our questionnaire to begin your inquiry. We will be in touch to answer any questions before committing to the program. 

A

7-day Fractal Anatomy and Somatic Stretch South of France, June 5-12, 2024

B

Ojai, California dates TBA

Question 2 of 11

Name: 

Question 3 of 11

Full address (including city, country, postal/zip codes)

Question 4 of 11

Telephone number (with country code)

AND mobile number if applicable (with country code)

Question 5 of 11

Best email address(es) for contact

Question 6 of 11

Emergency contact name and number

Question 7 of 11

Please tell us about your personal health history: current or past injuries, issues or concerns, past surgeries, allergies etc. 

Question 8 of 11

What are your hopes/dreams/intentions for your upcoming retreat? 

Question 9 of 11

Please list any medications you are on and what they are for

Question 10 of 11

Have you had, or currently have, any medical diagnosis relating to emotional or mental strain - such as PTSD, anxiety, psychosis etc. and share any past or current treatment we should be aware of in supporting you

Question 11 of 11

We will be emailing you soon to ensure this is exactly the program you're looking for! Do you have any questions you would like the answers to? 

Confirm and Submit