Wellspring in the Desert Retreat Registration

Wellspring in the Desert retreat Registration

FEBRUARY 10 – 15, 2023

wELLSPRING IN THE dESERT: a cALL TO bE wHOLE

Reflect, rest and renew, and connect with God, self and one another in this spiritual wholeness retreat focusing on the multi-dimensional elements of wellness: spiritual, vocational, intellectual, emotional, physical, social, and financial well-being.

Name *

First

Last

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Dietary Preference *SelectNoneGluten FreeVeganVegetarian

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 might be necessary to accommodate more participants. Price reduction = $174 for one additional roommate.

Gender *

• Female
• Male

Info for assigning roommates by gender if necessary.

Second Guest Name *

First

Last

Second Guest Email *

Second Guest Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Include a third participant? *

• Yes
• No

Third Guest Name *

First

Last

Third Guest Email *

Third Guest Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Include a fourth participant? *

• Yes
• No

Fourth Guest Name *

First

Last

Fourth Guest Email *

Fourth Guest Dietary Preference *SelectNoneGluten FreeVeganVegetarian

Identify dietary preferences for meals.

Price Breakdown *

• One person, private room - $ 999.00
• Two people, 2 per room ($825 ea) - $ 1,650.00
• Three people, 3 per room ($715 ea) - $ 2,145.00
• Four people, 4 per room ($650ea) - $ 2,600.00
• One person Commuter (incl meals w/o room) - $ 500.00

Pay by Credit Card *

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MM123456789101112Expiration

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YY2324252627282930313233

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