Residency Waitlist

First Name

Last Name

Email

Address

Phone

What’s calling you to this residency right now?

Which of these best describes you? select all that apply)

High-achieving woman running on empty

Carrying the invisible load of family, work, or caregiving

Craving more than a spa day, ready for a true reset

Ready to feel powerful, peaceful, and fully alive

Have you ever worked with a coach, therapist, or healing practice before?

Yes, currently

Yes, in the past

No, this is new to me

What’s the biggest challenge you’re carrying right now?

What do you most want to leave this weekend with?

Thanks for submitting!

When would you be most interested in attending? * Required

Fall 2025

Winter 2026

Spring 2026

Summer 2026

DR. TANYA B

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