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Mother’s Pause Retreat Registration Form
First Name
Last Name
Email
Phone Number
First Name
Last Name
Emergency Contact Phone
Any allergies or dietary restrictions?
What made you choose to attend Mother’s Pause?
As a mother, what do you most need in this season?
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Rest and emotional reset
Reconnection to myself/identity
Support and community
Tools for emotional clarity
Boundary-setting support
A quiet space to breathe
Please review and acknowledge the agreements below to help us create a safe, supportive experience for all participants.
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I understand this retreat is a supportive, reflective space and not a therapeutic service.
I agree to honor the privacy and experience of other participants.
I agree to the cancellation and refund policy. Cancellations made 7 days or more before the retreat will receive a full refund. Cancellations made within 7 days of the retreat are non-refundable, but your registration may be transferred to a future Mother's Pause date.
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