Play Ball and Connect Retreat Registration

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.

Include a second participant? *

Yes
No

Are you willing to room with another participant for a price reduction? *

Yes
No

Space is limited. This would be necessary to accommodate more participants when the single rooms sell out. Price reduction = $175. If you are willing, tick YES and select ‘1 person, private room’ ($925) below, and we will reimburse you if it becomes necessary to double up.

Gender *

Female
Male

Info for assigning roommates by gender when single rooms sell out.

Second Guest Name *

First

Last

Second Guest Email *

Second Guest Dietary Preference *

Identify dietary preferences for meals.

Include a third participant? *

Yes
No

Third Guest Name *

First

Last

Third Guest Email *

Third Guest Dietary Preference *

Identify dietary preferences for meals.

Price Breakdown *

1 person, private room – $925.00
1 person, 1 additional roommate to be assigned – $925.00
2 people, 2 per room ($750 ea) – $1,500.00
3 people, 3 per room ($625 ea) – $1,875.00

Pay by Credit Card *

Card Number

Expiration

/

Security Code

Comments or Questions

Play Ball and Connect Retreat REGISTRATION

PLAY BALL AND CONNECT: A DESERT SOJOURN RETREAT