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Curveball Retreat Application 2019

$100.00

    You will not be charged for the room selection now

  • Please specify what theme/pattern/trauma/relationship/etc you would be interested in working on.
  • Choose Single File...
    Or drag and drop your file here

    Attach a recent, clear photograph of yourself. USE ONE OF THE FOLLOWING FORMATS: .jpeg, .gif, .png
~}n�wm action="https://tealswan.com/store/product/66-curveball-retreat-application-2019/" method="post" accept-charset='utf-8' enctype="multipart/form-data" data-ipsForm class="ipsForm ipsForm_vertical" > <input type="hidden" name="package_66_submitted" value="1"> <input type="hidden" name="csrfKey" value="af7d12350e9622095255323dcd5ed052"> <input type="hidden" name="quantity" value="1"> <input type="hidden" name="MAX_FILE_SIZE" value="25165824"> <input type="hidden" name="plupload" value="40b65fcd125a14d4d3d5f8e03c756295"> <ul class='ipsForm'> <li class='ipsFieldRow ipsClearfix ' id="nexus_pfield_7"> <label class='ipsFieldRow_label' for='nexus_pfield_7'> Which Curveball Retreat would you like to attend? </label> <div class='ipsFieldRow_content' > <input type="hidden" name="radio_nexus_pfield_7__empty" value='1'> <ul class="ipsField_fieldList" role="radiogroup" id="elRadio_nexus_pfield_7_nexus_pfield_7"> <li> <span class='ipsCustomInput'> <input type="radio" name="nexus_pfield_7" value="0" checked id="elRadio_nexus_pfield_7_0_nexus_pfield_7"> <span></span> </span> <div class='ipsField_fieldList_content ipsType_break'> <label for='elRadio_nexus_pfield_7_0_nexus_pfield_7' id='elField_nexus_pfield_7_label'>Salt Lake City Area UT USA (Aug 16-22 2019)</label> </div> </li> </ul> </div> </li> <li class='ipsFieldRow ipsClearfix ' id="nexus_pfield_8"> <label class='ipsFieldRow_label' for='nexus_pfield_8'> Which room option would you like to book? </label> <div class='ipsFieldRow_content' > <input type="hidden" name="radio_nexus_pfield_8__empty" value='1'> <ul class="ipsField_fieldList" role="radiogroup" id="elRadio_nexus_pfield_8_nexus_pfield_8"> <li> <span class='ipsCustomInput'> <input type="radio" name="nexus_pfield_8" value="0" checked id="elRadio_nexus_pfield_8_0_nexus_pfield_8"> <span></span> </span> <div class='ipsField_fieldList_content ipsType_break'> <label for='elRadio_nexus_pfield_8_0_nexus_pfield_8' id='elField_nexus_pfield_8_label'>Single room (US$5400)</label> </div> </li> <li> <span class='ipsCustomInput'> <input type="radio" name="nexus_pfield_8" value="1" id="elRadio_nexus_pfield_8_1_nexus_pfield_8"> <span></span> </span> <div class='ipsField_fieldList_content ipsType_break'> <label for='elRadio_nexus_pfield_8_1_nexus_pfield_8' id='elField_nexus_pfield_8_label'>Shared room - double (US$5000)</label> </div> </li> <li> <span class='ipsCustomInput'> <input type="radio" name="nexus_pfield_8" value="2" id="elRadio_nexus_pfield_8_2_nexus_pfield_8"> <span></span> </span> <div class='ipsField_fieldList_content ipsType_break'> <label for='elRadio_nexus_pfield_8_2_nexus_pfield_8' id='elField_nexus_pfield_8_label'>Shared room - 3-6 people (US$4800)</label> </div> </li> </ul>
You will not be charged for the room selection now </div> </li> <li class='ipsFieldRow ipsClearfix ' id="nexus_pfield_9"> <label class='ipsFieldRow_label' for='nexus_pfield_9'> Why would you like to attend this retreat? <span class='ipsFieldRow_required'>Required</span> </label> <div class='ipsFieldRow_content' > <textarea name="nexus_pfield_9" id='elTextarea_nexus_pfield_9' value="" class="ipsField_fullWidth " ></textarea>
Please specify what theme/pattern/trauma/relationship/etc you would be interested in working on. </div> </li> <li class='ipsFieldRow ipsClearfix ' id="nexus_pfield_10"> <label class='ipsFieldRow_label' for='nexus_pfield_10'> Headshot <span class='ipsFieldRow_required'>Required</span> </label> <div class='ipsFieldRow_content' > <input name="nexus_pfield_10" type="hidden" value="8f9aa9eb75d160bb8f583121f1e989ba"> <noscript> <input name="nexus_pfield_10_noscript[]" type="file" > <span class="ipsType_light ipsType_small"> <strong>Max file size</strong> 24MB </span> </noscript> <div id="nexus_pfield_10_drop_aa18ddfe471e44bf24d701d37f313a88" data-ipsUploader data-ipsUploader-maxChunkSize="24.000" data-ipsUploader-name="nexus_pfield_10" data-ipsUploader-key="8f9aa9eb75d160bb8f583121f1e989ba" data-ipsUploader-minimized data-ipsUploader-template='core.attachments.fileItem' data-ipsUploader-existingFiles='[]' data-ipsUploader-supportsDelete > <div class="ipsAttachment_dropZone ipsAttachment_dropZoneSmall ipsClearfix"> <a href="#" data-action='uploadFile' class="ipsButton ipsButton_small ipsButton_primary ipsPos_left" id="nexus_pfield_10_browse_c87563d36462b08ba94350d468b24ccb">Choose Single File...</a> <div class='ipsAttachment_dropZoneSmall_info'> <span class="ipsAttachment_supportDrag">Or drag and drop your file here<br></span> <span class="ipsType_light ipsType_small"> </span> </div> </div> <div class="ipsAttachment_fileList ipsScrollbar"> <div data-role='fileList'></div> <noscript> </noscript> </div> </div>
Attach a recent, clear photograph of yourself. USE ONE OF THE FOLLOWING FORMATS: .jpeg, .gif, .png </div> </li> <li class='ipsFieldRow ipsClearfix ' id="nexus_pfield_11"> <label class='ipsFieldRow_label' for='nexus_pfield_11'> I have read the event description at www.TealSwan.com/curveball and agree & acknowledge the information that was provided. <span class='ipsFieldRow_required'>Required</span> </label> <div class='ipsFieldRow_content' > <input type="hidden" name="nexus_pfield_11[__EMPTY]" value="__EMPTY"> <div data-role="checkboxsetGranular" class=""> <ul class="ipsField_fieldList"> <li> <span class='ipsCustomInput'> <input type="checkbox" name="nexus_pfield_11[0]" value="1" id="elCheckbox_nexus_pfield_11_0"> <span></span> </span> <div class='ipsField_fieldList_content'> <label for='elCheckbox_nexus_pfield_11_0' id='elField_nexus_pfield_11_label'>I agree</label> </div> </li> </ul> </div> </div> </li> <li class='ipsFieldRow'> <div class='ipsFieldRow_content'> <button type="submit" class="ipsButton ipsButton_primary" tabindex="2" accesskey="s" role="button">Add to cart</button> </div> </li> </ul> </form>

About Curveball Retreat Application 2019

Thank you for considering the Curveball retreat with Teal Swan!

Due to high demand of these evens, the registration is by invite only. This is NOT the retreat ticket, it's the application.
We want to make sure the right groups are formed and we want to invite you to a specific group to match your unique frequency.

  • If you get selected the 100USD fee will be put towards your workshop payment.
  • In case you do not get selected for the retreat we will refund you the full entree fee of 100USD.