REGISTRATION AND PAYMENT

PARTICIPANT REGISTRATION FORM

Click the product for which your wish to register. Complete the required registration information. Scroll down to PAYMENT complete and submit. You will receive an immediate confirmation of your submission. An email containing more details will be sent shortly there after. Thank you in advance for your interest and get ready to REACH BEYOND!

Around To It
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Emergency Contact (Not required for virtual sessions)
Name/Relationship
Emergency Phone (Not required for virtual sessions)
Session Begin Date

MonthDayYear
Date
Session End Date

MonthDayYear
Date
SPECIAL REQUESTS
Do you have any health condition for which we need to make accommadations?
PROJECT
Describe the project you will FINISH during this retreat. (For example: book, new creation or business, idea, etc.)

Buried Treasures
Participant Name

First NameLast Name
Email (If you have one)
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Sponsor Name

First NameLast Name
Sponsor Email
example@example.com
Sponsor Phone
Group Name
Beginning Date

MonthDayYear
Date
Session Date

MonthDayYear
Date
Sponsors: Please read, sign and submit the Sponsor Agreement prior to making payment.

PAYMENT
Prices are on a per participant basis. Groups registering more than ten participants, will receive a 10% discount.
PRICE LIST
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AROUND TO ITPER PARTICIPANT, DOES NOT INCLUDE TRAVEL AND LODGING
$500.00



THE BODY COHESIVEPER PARTICIPANT/MATERIALS INCLUDED
$ Free Quantity



BURIED TREASURESPER PARTICIPANT
$ Free Quantity



GRATITUDE (A FRESH PERSPECTIVE)PER PARTICIPANT
$ Free Quantity



IYOU (IF YOU ONLY UNDERSTOOD)PER PARTICIPANTS, MATERIALS INCLUDED
$ Free Quantity



SpeciaTYPer Participant
$ Free Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.

PARTICIPANT REGISTRATION FORM