One Day Event Registration Form 251026

Sunday, October 26, 2025 - 9am to 4:30pm

CYO Retreat Center, Occidental, California

Early Bird Registration (by October 19, 2025) using this form is $90. Registration after October 19 or at the door is $120 (at the door payable by cash or check only - sorry, no credit cards at the door.) Lunch will be provided, and all proceeds will go to the Scholarship Fund for the Annual Conference.

A limited number of partial Scholarships to this event are available to men unable to afford the full Registration Fee. IMPORTANT: Those who wish to attend this event under a Scholarship MUST contact our Registrar, Conrad Larkin, (call 707-566-7570 or text to 707-478-3228) to make special Scholarship arrangements and acquire a Discount Coupon Code before filling out this Registration form. Once you have a Code, return here to fill out the form, select a Registration Type and apply the Discount Coupon at the bottom of this form.

Name*

First NameLast Name

Email*

Confirmation Emailexample@example.com

Phone Number (Cell phone preferred)*

This is in case we have a question.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you attended a Redwood Men's Center event previously?*

YesNo, this is my first RMC event

How did you hear about this Event?

Maintain your connection following the Conference by joining our invitation-only Discussion Group (RMC_Conference)*

Yes, please add me to the Redwood Men's Center private online discussion group. I understand I can easily leave the group at any time.No thanks, I'm not interested at this time.I'm already a member.

Birth year only (NOT the whole date)

Just your 4-digit birth year, please (NOT the whole date.) We need this to help in planning the event. It is not used for any other purpose and is not shared or distributed in any way.

Additional information/requests/comments?

Please verify that you are human*

Select Registration Type (select one only). NOTE: Scholarship attendees will need to contact our Registrar for a Discount Coupon Code BEFORE filling out this form. See top of form for contact information.

Early Bird Registration (must register by October 19, 2025)Includes lunch. Must register and pay by October 19, 2025.

$90.00

Regular Registration (received after October 19)Includes lunch. Registration received after October 19, 2025, paid online

$120.00

Pay $120 at the door, cash or check only.Includes lunch. Sorry, no credit cards if paying at the door.

$ Free

Enter coupon

Total

$0.00

Pay with Credit Card

A One Day Redwood Men’s Center Event