Personal Retreat

...

...

* These fields are required

1 Welcome

2 Requested dates

3 Price

4 People in your group

5 Participant Info

Title *	Example: Mr/Ms/Mrs, Sister, Reverend
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Email newsletter	Please send me email newsletters
Emergency Contact Info *	Please include name, phone number, and email address of your emergency contact person.
Meal Options *	We cannot support specific dietary restrictions for individuals. If you have a food allergy or intolerance, you are welcome to supplement your meals by bringing some of your own food items. There is refrigerator and microwave on each bedroom floor available for guest use. Please label food items with your name and the dates of your retreat.
Any allergies or intolerances?
Comments or Special Needs	If you are registering as a commuter and added an additional meal to your registration, please indicate here which day you would like to have your extra meal on.
How did you hear about us? *
Terms and Conditions *	By checking this box, I acknowledge that I have fully read and understood the terms and conditions.Please read the terms and conditions.
Refund/Cancellation Policy *	By checking this box, I acknowledge that I have fully read and understood the refund/cancellation policy.Please read our refund/cancellation policy before completing your registration.