EVENTS & RETREATS REGISTRATION

Name *

First

Last

Street Address *

Province *

Country *

Postal Code *

Phone (Home) *

Phone (Cell) *

Email *

Can you provide transportation for another if needed? *

Yes
No

Do you require transportation? *

Yes
No

Nearest Intersection

Please list any food allergies or dietary restrictions (not preferences) *

Preferred Type of Accommodation? *

Shared Accommodations
Tent required Private Accommodations wanted.

Name of person with whom you are sharing a room if accommodations allow:

Where did you find out about us? *

Most of our retreats, events, classes, workshops and information goes out by email. Would you like to be on our mailing list? (Random newsletter emails that won't deluge and overwhelm your email)* *

Yes, I would like to continue receiving emails
Yes, I would like to be put on your email list
No, I do not want to receive emails

Any further inquiries or questions.