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Wild Woman Retreat Interest Form

Please provide your contact info, then check dates + times to book a call with Cordi or Brooke to have all your questions answered and save your spot for this incredible experience ❤️

First Name

Last Name

Email Address

Phone Number

Instagram Handle

Would you like to learn some more about our optional plant medicine package?

Would you like to learn some more about our optional plant medicine package?
A
B

How did you hear about us?

Who would you like to meet with to learn more about the retreat & reserve your space?

Who would you like to meet with to learn more about the retreat & reserve your space?
A
https://storage.tally.so/3c69e997-2718-4148-898f-9eb3b0d109f3/Screenshot-2024-08-18-at-10.59.58-AM.png
B
https://storage.tally.so/d432c197-2352-4b3a-b382-0808ccf4bd09/cordi-pic.jpg