Refresh. Reset. Rejuvenate. Retreat Registration

Refresh. Reset. Rejuvenate. Retreat Registration

Please fill out this form to register for the healing retreat and prepare for a rejuvenating experience.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
What are you hoping to receive from this retreat?

Please rank your accommodation preference ... details will be finalized during your intake call with Sheri. We make every effort to fulfill your first or second preference, based on availability at the time of registration.

Rows	First Choice	Second Choice	Third Choice
King Room - Guest House, 1 available $300 (can be shared with another participant when booking together; indicate solo or shared in box below). SOLD OUT
Queen Room - Guest House, 1 available $260 (can be shared with another participant when booking together)SOLD OUT
Bell Tent - 3 single beds, 5 beds available $105 per person
Own Tent - 1 spot available, $50 site fee

Please select the program fee tier that reflects your current capacity
Please enter the specific amount you agree to pay within your chosen tier (note that this amount is in addition to the cost of accommodations):
Please share any special needs or requests (e.g., dietary needs, accessibility requirements, anything you'd like us to know before your intake call).
Text or email Sheri (206.618.7866 or StarGazelle@protonmail.com) to schedule a 15-minute intake call. A $100 deposit is due at the time of this call.
Signature
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