1. Please write your name and e-mail address.

4. What is calling you to join Jewel? What are you most looking forward to?

2. Do you have any dietary requirements?

Feminine Leadership Temple

3. Do you have any injuries or any special requirements Miriam should know about?

Jewel

5. If there's anything you'd like to add here, please do!

6. Are you booking a 2- or a 4-woman room?

7. Would you like to pay the remainder in full or 3 monthly payments?

8. Do you agree to the T&Cs for this retreat? Leave an X in the box to agree.

My retreats are intimate, luxurious and invitation-only. I can't wait to host you for an unfortgettable week of sea, sun, laughter and sisterhood. Thank you for listening to the call to join me.