Glam Divine Feminine Healing Retreat - Corolla, NC

September 12 -16, 2024

Registration Form

Full Name *

Email *

Mailing Address *

City *

State *

Phone *

Postal code *

Emergency Contact

Occupation

T-Shirt Size *

Favorite Color: *

Favorite Animal: *

Favorite Beverage: *

Favorite Snack: *

Have you ever been to a women's retreat before? *

If yes, please share your experience:

Do you feel like you are living in your purpose? *

If no, please elaborate:

What areas in life do you need to bring into harmony? [e.g., relationships, finances, spirituality, self-care] *

What do you feel you need to heal from childhood trauma? *

What is your favorite thing to do? *

What do you hope to learn/get out of this Heart Healing retreat? *

Thank you for registering! An Invoice for Payment will follow shortly. We look forward to welcoming you at The Black Stallion in Corolla, NC for our transformative retreat experience!