Registration Form For HTNZ Retreat

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Current Level of Healing Touch*

Retreat Fee (Select option that applies)*

HTNZ Inc Member: $210Non-Member: $280

Food Preference*

VeganGluten FreeDairy FreeNo Preference

Accommodation Room Options*

Option 1: $100/night/person (solo room)Option 2: $65/night/person (shared twin single room)I do not require accommodation

Accommodation: Number of nights

Friday onlySaturday onlyFriday and SaturdayN/A no accommodation needed

Optional: Are there any Healing Touch techniques you would like revision on?