Awakening Energy Registration

Registration Form

Recognizing Emptiness:
A Half-Day Retreat with nico hase
Sunday, July 21st, 10am to 1pm central time
in-person in Madison, WI
Your Name*

First NameLast Name
Your E-mail*

Confirmation Emailexample@example.com
About our Donation Model

We offer these daylong retreats on a dana (donation) model. The suggested donation is $30 to $120. We gratefully accept contributions of greater or lesser amounts, based on your resources.
Choose Your Donation Amount*

$30 (Supported)$75 (Sustaining)$120 (Benefactor)Other
Other Amount*
Total Donation
Is there anything you would like to let the teachers know?
Total Donation

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Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.