Demande d'accès en écriture
CEC Retreat Registration - August 9-12, 2018
Greetings, Explorers of Consciousness

Please fill out this form if you wish to attend CEC's Meditate-Celebrate-Activate Retreat at Ecology Retreat Centre in Hockley Valley this August. We will contact you within a few days to let you know if there is space. If so, we will ask you to pay to hold your spot. Payment may be made by e-transfer or credit card.

If you have any questions, please check the retreat page on the CEC website, or email us at consciousnessexplorersclub@gmail.com

Adresse e-mail *
Name *
Please provide your first and last name
Votre réponse
Phone Number *
Cell or the best number to reach you for ride sharing and last minute information
Votre réponse
Your address *
Including postal code
Votre réponse
Emergency Contact *
Please provide the name, relation, email and phone number of a person to contact in case you are accidentally killed
Votre réponse
Suivant
N'envoyez jamais de mots de passe via Google Forms.
Ce contenu n'est ni rédigé, ni cautionné par Google. Signaler un cas d'utilisation abusive - Conditions d'utilisation - Clauses additionnelles