Paola Baharav

Transformational Coaching

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Email

Phone

Age

Where are you located?

Gender

Have you ever been to a retreat before?

What is your social media handle? Ideally for Instagram

Describe yourself in a few words

Name 2 to 4 things that you're passionate about

What is your intention for coming to a retreat?

Tell us more about yourself

Emergency contact name + phone number

If applicable. please describe any mental conditions

Dietary preference or food allergies

Are there other allergies?

Do you have any medical conditions we should be aware about?

Are you on any medications we should be aware of?

I understand that my payment towards the retreat is non-refundable

You have read and agree to the TERMS & CONDITIONS (Can be found at the bottom of this page)

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