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enrol now >> Four seasons journey 2025 >>
enrol now
enrol now >> Four seasons journey 2025 >>
enrol now
enrol now >> Four seasons journey 2025 >>
enrol now
EARTH WOMAN RISING PROGRAM
Registration Form
Please complete your registration process by providing us with some information about you.
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General Information
-
Step
1
of 3
First Name
*
Last Name
*
Which Earth Woman Rising program are you signing up for?
*
EWR Mexico in May 2025
EWR Canada in June 2025
Address 1
*
Address 2
City
*
Postcode
*
State
*
Country
*
Email
*
Phone
*
Next
Date of Birth
*
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Sun Sign
*
Don't know
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Aquarius
Pisces
Moon Sign
*
Don't know
Aries
Taurus
Gemini
Cancer
Leo
Virgo
Libra
Scorpio
Sagittarius
Capricorn
Aquarius
Pisces
Ascendant / Rising Sign
*
Don't know
Aries
Taurus
Gemini
Cancer
Leo
Virgo
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Scorpio
Sagittarius
Capricorn
Aquarius
Pisces
Family
Married / partner
*
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Children
*
Yes
No
Children name and age (if applicatble)
Health
Any allergies/things we should be aware of, such as anaphalaxis?
*
Any dietary restrictions and special requirements for catering purposes?
*
Current & previous illness
*
Are you currently taking any medication?
*
Emergency Contact
Name of someone we can call in case of an emergency
*
First
Last
Phone Number (with area code)
*
Second phone number, if applicable
Relationship to you
*
Previous
Next
Occupation, if applicable
*
Previous employment, including voluntary work
*
Education since high school, if applicable
*
Skills
*
Spiritual beliefs & practices
*
What draws you to the School of Shamanic Womancraft and the Earth Woman Rising program?
*
Anything else you'd like to share?
Photo
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Thanks for your interest!
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