May 2018 Patziapa Retreat
Date of Birth
Do you speak Spanish?
How did you find out about this trip?
Spirit Jaguar website
Do you have experience with ceremony? If so, please describe briefly.
Please list any dietary restrictions
Special Needs: (mobility, general issues etc.)
Emergency Contact information (name, e-mail, phone number)
Relationship of Emergency Contact (friend, spouse, parent, etc)
Payment (Must be received by November 17th)
I will send a cashier's check or money order made out to Erick Gonzalez in the amount of $1950 to PO Box 96 Yreka, CA 96097
I will pay half the amount of $975 by Pay Pal and will bring the remaining $975 in cash to Guatemala.
I need to use a credit card and will pay 2.9% extra for a total of $2006 by Pay Pal
Should be Empty: