Register

Name *

First Name

Last Name

Phone *

(###)

###

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What accommodations are you interested in booking

Shared room/ Shared bathroom

Private room/Private bathroom

Private room/ Shared bathroom

Multiple shared room/ bunk room/ shared bathroom

Camping/ gear supplied

Camping/ bring your own gear

Other:

Are you on a restricted diet?

Yes

No

Do you need a payment plan? If so, please choose from one of the following.

3 Payment Plan

Monthly Payment Plan

Other

I agree that there are no refunds on the deposit. It will be applied to the balance due. You will receive a welcome email with a waiver/ agreement and payment plan structure, if you chose that option. Please comment any questions you have that I can answer. “A Retreat for Sacred Being” looks forward to hosting your next transformational experience.

Yes, I agree.

Yes, I have several questions and comments.

Other