Join Healing Waves

Healing Waves Registration January 2026

First Name

Last Name

Phone/Mobile

Country

Timezone

Section 2 – Your Intentions

What draws you to The Healing Waves Collective?

What is one intention you would like to focus on during our time together? (This could be physical healing, emotional growth, clarity in life direction, or something else.)

What do you hope to both give and receive from being part of a group like this?

Section 3 – Your Experience

Have you participated in group circles, meditation, or intention practices before?

Yes

If yes, please share a little about your experience.

Do you have any health considerations (physical or emotional) that you would like to share with us at this time?

Section 4 – Commitment

Sessions meet online 2 times per month for 90 minutes at 7 PM CET. Are you able to commit to attending regularly?

Yes, I can commit

I may need flexibility

This is a confidential and supportive circle. Are you willing to uphold group agreements of respect, presence, and confidentiality?

Yes

How did you hear about Healing Waves?

WIN Conference

Paths to Self Retreat

Alive and Loving It Podcast

Karen Mellers

Cathleen O'Connor

Rome Free Exchange

Social Media

Email Newsletter

Other

Healing Waves Fee

Price: $450.00

Use coupon code

1111

for 10% off.

Add the code in the Coupon box and click "Apply Coupon"

Coupon

Apply Coupon

Payment Method

Pay with Card

Bank Wire Transfer (to be recieved before beginning of the program)

Pay with Card

Bank Transfer Instructions: If you prefer to pay via bank transfer, please ensure the final amount received in our account matches the total USD listed below. Please account for any currency conversion or intermediary bank fees to ensure the full balance is sent.

Paula Petry

4932 34^th Street

San Diego, CA 92116

Chase Bank

Routing Number 021000021.

Account number

875695410

(BIC) or SWIFT = CHASUS33

We will email you this information after form submission.

Billing First Name

Billing Last Name

Billing Address

Address Line 1

Address Line 2

City

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