Portals - Women's Plant Medicine Retreat

First let's get some logistics outta the way!

What is your full name? *

What is your email? *

What is your Whatsapp number? *

Note: We’ll never spam you, it will only be used for the purpose of communication regarding the retreat

When is your birthday? *

Which city are you based in (or near) *

What website best describes you and your work? (optional)

If you have Instagram, add it here:

Facebook:

Cool! Now tell us a little about you!

What draws you in to this retreat? *

In one paragraph, how would you describe who you are & who you are becoming? *

How do you think this retreat would support you in your journey?

What is your superpower you think you could add to the group & other beings?

Are you pregnant or nursing? *

This is a retreat where we collectively hold space for each other? Are you okay with that? *

What are your dietary requirements? (Select all that applies) *

Thank you! Last slide!

After submitting, you will receive an email with a link to book a call with Shannon and Debbie to confirm if this retreat is a fit for you.

Do you have additional questions about the retreat we can help answer?

PS: You will recieve a link to book a call with Shannon and Debbie after submission.

In this call, we will confirm if this retreat is a fit for you.