Winter Retreat (January 15-18, 2027)

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To complete registration, please fill out this form and Venmo @Diana-Gradstein a
$400 non-refundable deposit to hold your spot

Full Name *

Do you have any dietary restrictions? Please list *

Any physical injuries or limitations I should know about?

Rooming preferences

I'm happy to share with a fellow participant

I would like my own space, but will share if necessary

I absolutely need my own space

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Bathroom

I absolutely need a bathroom in my cabin

I can survive with a bathroom close by

Amazing masseuse offering 60-minute massages ($125)

Please put me on the list for a massage

I'll skip the massage

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Anything else I should know?

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