#MoonSanctuary
Soul Retreat

DATES: September 10th - 15th, 2024
LOCATION: Franklin Manor

Phone

Email

814-254-4523

thedivinemedium@gmail.com

Social Media

First Name

Last Name

Address

Phone

Birthday

Tell me a little about you and what has led you to this point.

What is your intention in joining and what are you looking to gain from this experience?

What value would you like to add to our retreat community? Do you have a skill, experience or something you can share?

Please share what you are most excited about experiencing during the retreat.

Have you been to a retreat before? If so, tell me about it.

Bringing friends? Please share your roommates name (if applicable)

Do you have any food allergies? Preferences?

If you have social media, please provide which media you use and your screen name.

Will you be comfortable rooming with another attendee of the same gender who will be getting to know you during the retreat duration?

Will you be comfortable being filmed & professional pictures being taken of you during your time at the retreat?

If your application is accepted by Moon for attending the retreat, do you have any questions for Moon before you join us? Ask any questions you may have here.

If your application is accepted by Moon for attending the retreat, are you 100% in?

I accept terms & conditions

Thanks for submitting!

CRYSTAL COVE GEMS

#MoonSanctuary
Soul Retreat

Phone

Email

Social Media

A sacred soul shop that contains a large array of crystals, sages, incense, and other mystical tools to enhance your spiritual practice and soul growth.

Tumbles

Crystal Jewelry

Spiritual Community

Home Decor

Sacred Space / Ritual

New to all this

Crystal Beauty

CONTACT DETAILS

Call Us At:
814-254-4523

Visit Us At:
165 Village Street
Johnstown, PA 15906

Get a Session At:
www.mooneir.com

CRYSTAL COVE GEMS

#MoonSanctuary Soul Retreat

Phone

Email

Social Media

A sacred soul shop that contains a large array of crystals, sages, incense, and other mystical tools to enhance your spiritual practice and soul growth.

Tumbles

Crystal Jewelry

Spiritual Community

Home Decor

Sacred Space / Ritual

New to all this

Crystal Beauty

CONTACT DETAILS

Call Us At: 814-254-4523

Visit Us At: 165 Village Street Johnstown, PA 15906

Get a Session At: www.mooneir.com

#MoonSanctuary
Soul Retreat

Call Us At:
814-254-4523

Visit Us At:
165 Village Street
Johnstown, PA 15906

Get a Session At:
www.mooneir.com