Chatham Registration - Anahata Leadership

THE HEART OF FEMININE LEADERSHIP

June 17-22, 2019

Registration

Name*
First Last
Email*
Phone
Current role (if any):
Please briefly describe why you are interested in attending the retreat and what you hope to gain from it.*
Have you ever participated in an experience of deep self-reflection (i.e; coaching, therapy, healing work, etc)? What was your experience like?
Do you feel you are ready to dig deep into your emotions and belief systems in a way that might challenge them? What support do you feel you would need for that process?
Please indicate your dietary preferences, if any, with choices being Omnivore, Vegan, Vegetarian, Gluten Free and Other (please specify)
Do you require an invoice for payment by, or reimbursement from, your company?
- Yes
- No
Name of company (if applicable)
Billing Address
Street Address City State ZIP Code
Do you wish to be put on the waiting list if the registration is full?
- Yes
- No
This retreat is offered at a rate of $6,950. Due to the intimate and immersive nature of The Heart of Feminine Leadership, there will be limited availability. A $450 early bird discount is available to participants who register before November 1st, 2018. The retreat cost does not include airfare, airport transfers, or the cost of spa treatments.

A nonrefundable deposit of $3,475 is due by December 1st, 2018. Full payment of the retreat program fee is due by February 15, 2019.
Terms of Retreat*
- I have read and accept the terms of the retreat.
Select method of Payment*
- Payment by Paypal
- Payment by check, payable to Anahata Leadership, Inc. at above address
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