New Client Intake Form

Before our retreat experience please attend to these two items....

1. Read and sign the client agreement and disclosure form: please click here before continuing.

2. Complete the form below.

Name *
I have read and I consent to the terms of Laura's legal disclaimer found at
Phone *
Provide the phone number to reach you while traveling
(I'm conducting some research on our collective destiny!)
Do you need or have an interest in carpooling and/or room sharing (Before or after the retreat)? *