2017 Retreat Registration - Part 2

We are really looking forward to seeing you at the Retreat
This form will allow us to customize your experience and make sure that we are aware of any important personal information.

See you soon!

Name
Name
Phone
Phone
Personal Information
This information helps us make your experience as smooth as possible.
In numbers
Do you have any medical conditions(physical or psychological) or limitations that would impact your participation? *
Are you seeing a counselor or therapist regularly? *
Do you snore? *
Ridesharing is Caring!
You are welcome to sit in a chair or on a cushion for meditation. You're also welcome to switch back and forth. We have padded folding chairs available if you prefer to sit in a chair - you may want to bring a pillow for added comfort to the chairs. We also have several cushions, however, if you have extras... we'd love it if you could bring more to add to the pile! *
Are you able to stay in an upstairs room? *
Emergency Contact Info
WORKSHOP ATTENDANCE and Cancellation policy
Attendance for the full length of the workshop is required. It helps keep the integrity of the container and allows everyone to stay connected to the experience more fully. Please note that cancellation fees increase the closer it gets to the starting date of the retreat. As of 3:00pm on the last business day before opening day, there are no refunds except for emergencies. Deposits and payments cannot be transferred to another retreat or another person. If a refund is due, we will refund the credit card used to pay for the retreat. In general, the cancellation fee schedule is below: > 8 weeks $100 4-8 weeks $175 1-4 weeks $225 < 1 week $300 Last business day prior to retreat after 3:00pm - No Refund

I have read and understand the cancellation & attendance policies. *