Conference Registration Form with Payment

Evolve Women's Retreat Registration

January 16 - 19, 2026 | Sanctuary Camelback Mountain, Scottsdale, AZ From Selfish to Self-Full
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 2: Retreat Package
Room Type*

Single Occupancy ($3000 Private Suite)Double Occupancy ($2200 Shared Suite - 2 Queen Beds)
Double Occupancy, Roommate Preference

Please pair me with a roommateI already have a roommateI'm not sure yet
Name of preferred roommate:
Section 3: Consent & Agreements
I understand this registration fee is non-refundable, but it is transferable, with approval.*

I agree
Section 4: Complete Registration

✨ Secure Your Spot Today! ✨Spaces for the Evolve Women’s Retreat are limited and filling quickly. Minimum deposit of $500 required by September 30, 2025 and registration must be paid in full by December 31, 2025.
To guarantee your place, please submit your payment today. Payments can be made conveniently by credit card (with a minimal processing fee) using the links below, or by Zelle to hello@candicylar.com.

Deposit Only – $500
- Credit Card: [Evolve Women’s Retreat Deposit]
- Send Zelle pmt of $500 to: hello@candicylar.com
Full Payment (Double Occupancy) $2,200
- Credit Card: [Evolve Women’s Retreat - Double Occupancy - Full Payment]
- Send Zelle pmt of $2200 to: hello@candicylar.com
Single Occupancy – Full Payment $3,000
- Credit Card [Evolve Women's Retreat - Single Occupancy $3000 - Full Payment]
- Send Zelle pmt of $2200 to: hello@candicylar.com
  
  💫 Don’t wait—your journey from Selfish ➝ to Self-Full begins the moment you commit. Secure your space today and prepare for a life-changing experience!
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Evolve Women's Retreat Registration

Section 2: Retreat Package

Section 3: Consent & Agreements

Section 4: Complete Registration

Deposit Only – $500

Full Payment (Double Occupancy) $2,200

Single Occupancy – Full Payment $3,000

💫 Don’t wait—your journey from Selfish ➝ to Self-Full begins the moment you commit. Secure your space today and prepare for a life-changing experience!