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Retreat Form

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Fill out the form below and pay your $200 deposit to secure your spot in the retreat.

You will receive an email following the payment with more information about this special gathering. 

The remaining balance must be paid prior to the commencement of the retreat.  It is recommended to pay in cash or check upon arrival.

 

If you prefer to pay on a card, there will be a 4% fee.

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Basic Info

Intention

Lodging Preference

Emergency Contact

Someone supportive, outside the retreat, who knows about what you're doing, that we could contact if needed in case of emergency.

Received. Check your email for further instructions. If you do not receive an email within 2 hours, please check your spam.

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