Special Event Registration

Special Event Registration

Please complete the form below to register for upcoming special events (workshops, concerts, retreats, etc.)

Women's Retreat 2019

Name of Retreat Participant*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone*
Email*
Medical conditions:
Name of Emergency Contact*
First Last
Phone of Emergency Contact Person*
Meal Choices*
Check all that apply
- Regular meals
- Vegetarian
- Vegan
- Gluten-free
- Dairy-free
Food allergies?*
If no, enter no. If yes, please list allergies.
Register now*
You can send a $65 deposit (due by Sept. 13) to save your place, or you can send the full retreat fee of $125. Full payment is due by Sept. 13.
- $65 deposit
- $125 full retreat fee
- I will pay by check
- I will pay in person or by phone
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