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Cleanse & Restore
Signature Booking
Date
Basic Info
First Name
Last Name
Email
Nickname (I Like to be Called…)
Country Code
Phone
Address
Getting to Know You
Why were you inspired to join Cleanse & Restore?
What would you like to receive from this experience?
What would you like to give to further enhance this experience and the group as a whole?
What does cleansing mean to you?
What would you like to cleanse yourself of?
In what ways have you cleansed in the past (if any)?
Describe a time when you felt restored.
Just a Little More Info
Help us put a face to your name! Please upload your favorite photo of yourself.
Upload File
Upload supported file (Max 15MB)
If you have any questions that we can answer to support you in preparing for your Experience, please list them here and someone on our team will get back to you!
Please share anything else you would like us to know about you!
Price & Payment Options
Price Option
Private Room for Myself
Shared Room with a Partner or Friend
Shared Room with Friends I Don't Know Yet
Partner or Friend Name
Payment Option
Full Payment Today (save $100 USD)
50% Today + 50% 2 Weeks Prior to Arrival
Monthly Payment Plan ($250 USD fee)
Submit My Booking!
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