SPICE Retreat Registration

DECEMBER 9 – 11, 2022

SPICE: SPIRITUAL PROGRAM FOR INDIVIDUAL AND COUPLE EMPOWERMENT

A one-of-a-kind research-based, spiritual empowerment retreat that utilizes mindfulness, neuroscience, storytelling, and experiential exercises to infuse more calm, health, and joy in your relationships and in the world.

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.

Additional Guest Name (if applicable)

First

Last

Additional Guest Dietary Preference (if applicaable)

Identify dietary preferences for meals.

Price Breakdown *

One person, private room - $ 415.00
Two people, 2 per room ($350 ea) - $ 700.00
Three people, 3 per room ($900 ea) - $ 900.00
Four people, 4 per room ($280 ea) - $ 1,120.00
One person Commuter (incl meals w/o room) - $ 245.00

Pay by Credit Card *

Card Number

Expiration

Security Code

Comments or Questions