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HOME RETREAT 2026
Are you willing to take full responsibility for yourself (spiritually, mentally, emotionally and physically) before, during and after this retreat?
Yes
No
ADD/ADHD
ADDICTION/ALCOHOLISM/SUBSTANCE ABUSE
ANXIETY DISORDER
AUSTISM
BI-POLAR
DEPRESSION
PERSONALITY DISORDER
PTSD/CPTSD
SCHIZOAFFECTIVE DISORDER
SUICIDAL IDEATION
TRAUMA
I understand that everything in this application will be held in sacred safety within the facilitators of this experience and held in confidentiality
I attest that the information presented in this application is true and accurate
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