Page 1 of 2
Interest form for the Inner Nature Alchemy Immersion
Let's start with your personal details
*
*
*
*
Where are you joining us from?
*
What's calling you to this immersion?
*
Have you done breathwork or a multi-day retreat before?
*
Have you done breathwork or a multi-day retreat before?
Yes, I've experienced Breathwork before
Yes, I've experienced a multi-day retreat before
No, this will be my first experience
What feels most alive or most stuck in your life right now?
Is there anything that might make attending a stretch — practically or otherwise?
Which Immersion would you like to attend?
*
Which Immersion would you like to attend?
A
Inner Nature Alchemy Immersion, August 16-21
B
Pentalpha Medicine Immersion, August 21-23
C
Both, August 16-23
Would you like to receive a clarity call
*
Would you like to receive a clarity call
A
Yes, I have questions or things I want to explore
B
Not necessary, I'm ready to book
Register