WOVEN WISDOM INTAKE FORM

We are excited to have you join us for this magical and deeply transformative journey with us in Portugal. Reconnecting to the wisdom of our body, our womb and the power of women coming together in a circle and weaving their magic. In order to make this the best experience for you, we would love for you to answer some question upfront so we can get a better idea of who you are and your unique intention of joining.

Name

First Name

Last Name

Phone

(###)

###

####

Adresse

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Comments or Special Needs

Do you have any dietary restrictions?

Flight Arrival Information

What are looking to achieve during your retreat?

Please let us know why you are coming. What are looking to heal, let go off, learn about yourself while you are here? Anything you share is kept confidential.

Are you interested in ongoing integration support with one of our facilitators?

Tell us about any medical issues that we should be aware of

For example: asthma, diabetes, epilepsy etc

Anything else we should be aware of?