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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

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

Room Mate Preference

To be completed if you choose to Share a Room
Diet Considerations
Please check your diet preference
Please list any allergies you may have
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