Registration Scotland 2024

Name*

First Last

Retreat Dates*

Select which of the 2 retreats you will be attending

Payment Preference*

Please send all payment checks (made out to Suzie Hurley,) to PO Box 392, Oxford, MD 21654

Address

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

Email*

Note: Suzie will communicate all details via email.

Enter Email Confirm Email

Best Phone*

Accommodation Preference*

I would encourage shared accommodation since space is limited.

Room Mate Preference

To be completed if you choose to Share a Room

Preferred Roommate Name

Preferred Roommate Phone

Diet Considerations*

Please check your diet preference

Allergies

Please list any allergies you may have

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