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Gaian Rhythm
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Registration
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Gaian Rhythm
Home
Registration
Login Account
Home
Registration
Login Account
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PLEASE READ BEFORE PROCEEDING

Registration is simple. First, fill out the registration form on this page. Once your form is submitted we will review it and reach out to you via email with instructions and additional details. This may happen in as little as an hour or as long as a week depending on our schedule.

REGISTRATION IS OPEN ONLY FOR OUR MID-WINTER WEEKEND RETREAT IN JOSHUA TREE, CALIFORNIA

NO OTHER APPLICATIONS WILL BE ACCEPTED.

* Please make sure the email address you provide is accurate or we will not be able to register you*

TO VISIT OUR PRIMARY WEBSITE PLEASE GO TO GAIAN RHYTHM .COM

Name *
Birthdate *
Phone *
Have you served in any branch of the Military? *
if yes please describe, otherwise simply write "no"
Are you currently pregnant? *
Some medications are contraindicated, for your safety honesty is important.
Please consult your treating physician before stopping any medication or treatment plan
This includes Kratom, cannabis and micro-dosing
(ie high blood pressure, heart conditions)
If yes please list length of sobriety or active use
If you attend one of our retreats this info will be passed on to the chef.
ie vegan, vegetarian, celiac etc
meaning do you provide services for others i.e Reiki, breathwork, yoga, or serve plant or animal medicines etc.
I attest that the above information is true to the best of my knowledge *

Thank you! We will email you soon from hello@gaianrhythm.com