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‘Peace in the Valley’ hypnosis retreat 2026
Name
*
Phone #
*
Email
*
What called you to apply?
*
What would make this retreat feel life-changing?
*
Which feels like you most right now?
*
A
In a transition season
B
Emotionally exhausted
C
Loss of identity
D
Overthinking & worry
E
Physically affected by stress & anxiety
F
Waiting for circumstances to change
G
All of the above
Have you experienced a retreat before?
*
How comfortable are you with sharing in small groups?
*
Room preference:
*
A
Shared
B
Private
C
VIP/Suite
Dietary needs?
*
Emergency contact
*
How ready do you feel to invest in yourself right now? 1–10
*
Anything else you’d like me to know?
*
✨ Applications reviewed within 72 hours ✨ Retreat size intentionally limited
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