Balance in Recovery Retreat Registration

MARCH 8 – 10, 2024

This retreat is for men only.

Name *

First

Last

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Dietary Preference *

Identify dietary preferences for meals.

Gender *

This retreat is for men only. Please confirm your gender.

Participant Registration *

Only double rooms are available at this time. When double rooms sell out, a third roommate may be added. Price reduction for triple room = $75 ea.

Pay by Credit Card *

Card Number

Expiration

Security Code

Comments or Questions