Legacy of Light Retreat Application

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Currently, we are only accepting applications for our waitlist. We will notify you if a space becomes available.

Thank you for your interest!

Waitlist Retreat Application Form 2024

First Name

Last Name

Mobile Phone Number

In which city and state do you reside?

Have you previously attended a Legacy of Light Retreat through the Vivian Helene Foundation? *

YES

Are you the mother of a child who died from a stigmatized death, such as suicide, drug or alcohol related incident, or other traumatic accident? *

YES

What is your child in spirit's name?

When did your child transition?

Please describe the types of healing modalities that you have tried (i.e. Reiki, Psychotherapy, Sound Healing, Yoga, Meditation, etc)

What type of modality has been the most helpful for you thus far?

Are you open to communicating with our loved ones in spirit through meditation or mediums? *

YES

Have you visited a medium to connect with your child in spirit? *

YES

Are you open to, or have you gotten, signs from your child in spirit? *

YES

What interests you about attending this retreat?

I understand that in order for a spot to be secured, a non-refundable deposit of $222 is required. *

YES

Your content has been submitted.

Thank you! We will be in touch soon!

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Please check the fields above for errors.

If you have any questions, please contact Beth at support@vivianhelene.org

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EIN: 87-4302656

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