ESCAPE Retreat Registration

Name*

Email*

Phone*

Here is the tentative schedule:
Day 1: Friday, July 29th: 11 am - 5 pm EST
Day 2: Saturday, July 30th: 11 am - 5 pm EST

IMPORTANT! Action Required! Please RSVP!

Will you be joining us for the 2022 Virtual Summer ESCAPE?*

Yes! I will be attending the 2022 Virtual Summer ESCAPE!
No. I will not be attending and understand I will be missing out on the powerful healing experience with Jessica and the rest of the Escape From Emotional Eating Community.

Please confirm your current mailing address:*

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