I am registering for:
DIETARY NEEDS OR HEALTH ISSUES:
TOTAL INTENDED LENGTH OF STAY IN COSTA RICA:
*** For people choosing to stay in Costa Rica before or after the the course.
TOTAL INTENDED PAYMENT: ________________
PAYMENT SENT UPON REGISTRATION: ________________
PLEASE CHECK THOSE THAT APPLY:
* Make checks payable to The Gaia School of Healing.
* Send completed retreat registration form and payments to:
The Gaia School of Healing - California Branch, c/o Marysia Miernowska, 2635 28th St. #1, Santa Monica, CA 90405
How did you find out about the Costa Rica Sacred Medicine Journey?
What are your specific interests regarding plants, healing, and spiritual practice?
What are you most looking forward to learning and experiencing during this course? What are your desires and expectations?
Do you have any questions about the course or your stay at La Cusinga that you would like answered?
Please take some time to tell Marysia about yourself, and to ask her any questions that you have regarding this retreat. If you have any special needs or concerns, please voice them so that we can try to address them well before the start of the retreat.