Register for Waking Up in the Wild

Weekend Retreat at EarthRise

 
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We're excited to be with you!

— Jenn, Marianne, Katie, & Patricia

 
 

Thank you for registering for this retreat!

Please provide the following information to aid in our planning for the weekend.

(Please note that completing this form is your official registration for the retreat. Upon submission of this form, you will be prompted to pay the registration fees.)


Name *
Name
Phone *
Phone
Address *
Address
The following rates show the TOTAL cost, including lodging, meals, teaching, and materials. **Note: Dorm cost is dependent on the dorm of 4 beds being full. If the dorm is not full, the cost will be pro-rated accordingly.
If you're selecting the "Bring a Friend" rate, please list the name of the friend, and ensure that they submit their registration within a week. If you have selected a double room, we will pair you with your friend.
Please let us know about any specifications to your diet. If none, please write "none."
This is not intended to be a strenuous retreat, and any hiking or yoga is optional. However, a certain amount of walking is needed for some of our planned activities. Please let us know about any mobility specifications so that we can try to accommodate your needs. If none, please write "none."
Is there anything else that we should know about regarding your needs? Any background information about you which would be helpful? If none, please write "none."
Can we use photos of you in future promotional materials? *
We'll be taking some photos at the retreat and we'd love to use them when promoting upcoming events. Is that ok with you?
Would you like to receive our monthly newsletter? *