WE ARE Wild Women's Training Booking Form

First Name

Last Name

Whatsapp (Inc. Int. Code)

Country Of Residence

City Of Residence

Date Of Birth

Gender

Please share a few words on your spiritual journey so far, and on any ceremonial space holding experience you have

I have read and accept theCancellation Policy

I will make the $500 deposit by Paypal now, and pay the remaining balance at least two weeks before the event.(Click here to contact us if you cannot pay now by Paypal)