Cape Cod Women’s Retreat Signup Form First Name:* Last Name:* Your Email:* Phone:* Street Address:* City:* State:* Zip Code:* Write a brief statement on why you would love to attend this retreat and what you would like to create for yourself in this sanctuary:example: I hope to... Previous Psychic, Energy Awareness and Meditation Training?*No experience necessary. Center for Psychic HealingBPI StyleWomen's SpiritualityPaganZen, Buddhist or TantricMediumshipChristian, Judism,Islamic or Non-DenominationalOther Schedule Description:*Please check the workshops and events you are attending. You will need to call CFPH when you want to add or adjust your schedule. Monday 9-10 am MEDITATION GroundingMonday 10:20-11:30am MOVEMENT The whole bodyMonday 5-6pm ENERGY TOOL Your spaceMonday 6:30-7:30pm EVENT Aura HealingsTuesday 9-10 am MEDITATION Running earth and cosmic energyTuesday 10:20-11:30am MOVEMENT Legs and FeetTuesday 5-6pm ENERGY TOOL Female energyTuesday 6:30-7:30pm EVENT Group readingWednesday 9-10 am MEDITATION Creating and ReleasingWednesday 10:20-11:30am MOVEMENT SpineWednesday 5-8pm EVENT Outdoor SaunaThursday 9-10 am MEDITATION ProtectionThursday 10:20-11:30am MOVEMENT PelvisThursday 5-6pm ENERGY TOOL CreativityThursday 6:30-7:30pm EVENT Fire circleFriday 9-10 am MEDITATION Own the center of your headFriday 10:20-11:30am MOVEMENT BellyFriday 5-6pm ENERGY TOOL ForgivenessFriday 6:30-7:30pm EVENT Mary Magdelene HealingsSaturday 9-10 am MEDITATION GoalsSaturday 10:20-11:30am MOVEMENT/CLOSING CIRCLE: Putting it all together List any special accommodations or assistance you need in order to participate in this retreat: Your Retreat Week:* Yes, I would like to stay in the Bungalow with a queen bed for a $275 fee per stay (not night)No, I do not need housing. I live locally and will drop in for the week, a fee of $100.I would like a campsite for a fee of $175 per stay (not night) Which nights would you like to stay? MondayTuesdayWednesdayThursdayFriday Overnight Accommodations: Yes I snore and or talk in my sleepNo I do not snore or talk in my sleep Food will be prepared in a shared space. Do you have allergies?* GlutenNutsDairySeafoodIs this life threatening?I do not have allergies Private sessions are available mid-day during your retreat. Would you like to set a private session for yourself during the retreat?Please see website for more information on services: www.centerforpsychichealing.com and www.massageonmainstreet.com 30 minute reading, $7030 minute massage, $4560 minute reading, $12060 minute massage, $85I may. I will decide during the retreat. Center for Psychic Healing:*Are you interested in learning more about the trainings and healings at the Center? Yes, I am interested in the Inner Light Program, a 1 year intensive.No, I want to attend the retreat, but I am not interested future eventsI would be interested in hearing more. Please put me on your mailing list for upcoming events.I have a friend who would love to hear about the Center.I would like to receive a reading or healing in the future. Let's make an appointment.