Energy Healing Session Application - AUG 2019

Energy Healing Application

We call our participants "Living Beauties" because we feel this best represents who they are inside and out. Women over the age of 18 who have been diagnosed with any form of cancer - whether currently living with cancer or cancer survivors - are eligible to become Living Beauties and attend Wellness Retreats.

Please complete this application as thoroughly as possible.  All information will be used to help determine acceptance. 

All applicants will be notified via email if they are accepted for attendance. 

Please note that this application may not be supported by mobile phones, tablets or safari.