retreat Registration

Name *
Name
Phone
Phone
Address *
Address
Please select one optional small group therapy session you would like to attend?
(Each small group session with our retreat therapist Minaa B. 1.5 - 2 hrs. long)
Are you interested in optional retreat services or activities?
*for an additional fee
What are your retreat expectations? *
Select only your top 3.
I agree that I am between the ages of 21-40 years old and identify as a woman of color. *
By checking ‘Yes, I agree’ you are acknowledging that you have read and understood the retreat attendee policy and the travel waiver (below). You fully agree and understand all terms and conditions. *

Please click here to review all The 2017 MBM Retreat Attendee Policy and Travel Waiver

Disclaimer

The Mind Body Melanin Wellness Retreat is marketed for and intended for women of color between the ages of 21-40 years old. Retreat content and discussion topics are tailored for the young adult women of color audience. Mind Body Melanin does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.