Goddess Gathering Painting Retreat Registration Form

Goddess Gathering Painting Retreat South Pender Island, BC

OCT 19-22, 2018
Please fill out form to register. Once registered you will be sent a paypal invoice to your email address. Please ensure you send your deposit or full payment to secure your spot because space is very limited. Terms and condtions stated below apply.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City Province / State

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Birthday*

MonthDayYear
Date
Choice of accommodation.*

Shared Queen Room (private bathroom) (all inclusive meals) $1300Shared Twin Loft Room (shared bathroom) (all inclusive meals) $1000No Accommodation Workshop $770 (limited meals) (please fill out request )
No Accommodation Request
Limited spots for those requiring no accommodation. Further information is requested. ex: "I live on Pender Island" Note: Must be at retreat location by 10am Sat, Sun, Mon.
Requested Roomate
Dietary Needs
Please indicate any special dietary needs and allergies.
How did you hear about this retreat? *
What is your main intention in attending this retreat?*
Please add any questions, comments, or special needs here.
TERMS & CONDITIONS

Payment may be made in full or by deposit.

A 50% non refundable deposit is required to secure your place at this retreat. Full payment is due by Sept 20, 2018.

Cancellation Policy: Due to the intimate nature of this retreat, there are no refunds for this event. If you cancel for any reason, your spot is transferrable to another person provided your notification of cancellation is received by email 7 days prior to the retreat start date and your full payment was received by the final due date of Sept 20, 2018

As a participant of this retreat you are required to be respectful and considerate at all times of the venue, fellow participants and facilitators.
Please subscribe me to receive the following:

Notifications of Future Retreats and OfferingsBimonthly Moon Meditation Colouring Page
Emergency Information

Please fill your contact to notify in case of an emergency
Emergency Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Do you have any medical issues?*
Thank you for choosing to share your energy with us during this magical retreat! Your presence is appreciated!

You will receive a copy of your registration form shortly. Please check to make sure all your information is correct. Please contact me if you need to change anything.

I look forward to seeing you in October!

In Joy,
Sharron Cuthbertson

www.artofsha.com
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Goddess Gathering Painting Retreat South Pender Island, BC

Emergency Information