Divine Woman

Sacred Plant Medicine Retreat Registration

After completing this registration form and submitting, Mira will contact you to make payment farrangements for the $500 deposit and the remaining balance of the retreat.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Divine Woman Plant Medicine Retreat Deposit

Price: $500.00

A deposit is required by December 1, 2025 in order to save your place. Pay using Venmo or Zelle. Venmo Mira at Mira-Hatland, (Type the word "Love" when asked What is this for?) Zelle Mira at mirahatland@gmail.com (Type the word "Love" when asked What is this for?)

Please let me know where you heard about Mira Loves You?