Thinkpeace Workshop Women's Weekend
This is the registration form for the Thinkpeace Workshop Women's Weekend. The dates are Friday, February 28, 2014 to Sunday, March 2, 2014. Please direct questions to thinkpeaceworkshop@gmail.com
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General Information
Full Name *
Mailing Address *
Email Address *
Cell Phone Number
Food needs and allergies
Do you have any food needs or allergies? *
If no, skip to next section
Required
What are your food needs or allergies?
Are they life threatening or airborne?
Travel Info
How are you arriving to the women's weekend? *
If flying, please list your flight information below.
Inquiry
How did you hear about the women's weekend? *
Required
What are you looking to get out of this weekend? *
If you had to describe yourself in one word what would you say? *
What are your top three challenges in life at this moment? *
What are the top three areas of your life in which you are thriving or growing? *
What are the top three activities you would like to do this weekend? *
Please only choose three.
Required
Is there anything else you would like to tell us?
This is the space to ask for specific accommodations, questions, thoughts or any other information you would like to share.
Payment Information
How will you be paying for this weekend? *
If paying by credit card: Card type
Card number
Expiration Date
Verification Number
Is the billing address the same as your mailing address?
If not, please provide billing address below.
Additional Information
By pressing the submit button I agree to be responsible for all payment and showing up as myself for Women's Weekend.

All check payments should be mailed to PO BOX 1204 Saratoga Springs, NY 12866

If you should have any additional questions please forward them to thinkpeaceworkshop@gmail.com and someone will respond to you directly.

We look forward to having you!
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