Ancient WATERSEnrolment form Open Form Ancient Waters Enrolment Form 2 Name * First Name Last Name Email * Please link your instagram * Would love to connect with you there Where are you from/ living? * What calls you to this immersion? * What is your relationship like with Water? * What is your relationship like with Intuition? * How would you like to pay? * In full $250 Two payments of $144 Psychological: Have you ever been diagnosed with bipolar disorder, schizophrenia or previous psychiatric conditions? Have you been hospitalised with any psychiatric condition or emotional crisis within the last 10 years? Or do you have any other medical, psychiatric or physical conditions which would impair or affect ability to engage in any activities that involve emotional release? * Yes No If yes please share a little about this & how this time is impacting you now. Refund Policy * Payments are not refundable but if you cannot attend you can transfer your payment to a future Ancient Waters Immersion. I have read, understood, and agree to the refund policy Payment Plan Agreement * Please note that all payment plans must be completed by the 14th of November 2024 I agree to pay off all instalments of my payment plan by the 25th of May for my Priestess of the Waters Retreat with Hannah Vela Thank you for enrolling in our Ancient Waters Immersion!We are so looking forward to journeying with you.We will be in touch via email asap to send you more details & bank transfer information.
