Registration November 2022 Meditation Retreat

Register for the November 2022 Meditation Retreat!

Maria and I look forward to seeing you there from November 11 – 13, 2022.

Please fill out the Registration Form below to send us your details. After clicking the Submit button for the form, you will be taken to a page where you can choose your payment preference and finalize your registration.

If you have any questions, please email me

Registration Form

"*" indicates required fields

Name*

First Last

Payment Preference

Venmo

Personal Check

Please let us know how you will be paying for the Retreat

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone*

Room Preference*

Room Mate Preference

To be completed if you choose to Share a Room

Preferred Roommate Name

Preferred Roommate Phone

Diet Considerations

Gluten Free

Vegetarian

Vegan

None

Please check your diet preference

Allergies

Please list any allergies you may have

A copy of your Covid Vaccination Certificate*

Max. file size: 1 GB.

Please upload a copy of your Vaccination Certificate here. You can scan the certificate and then load it from your computer, or take a photograph and load the image here

Important: Payment Process

Once you have submitted this form, you will be taken to a page where you can send your Retreat payment via Venmo or a check

Register for the November 2022 Meditation Retreat!

Registration Form

Room Mate Preference

Important: Payment Process

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