Summer Solstice Retreat Interest Form

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Thank you for your interest in the Summer Solstice Retreat, June 21-25 in Asheville, NC, facilitated by Maralis Self, Empowered Energy.

These forms will be processed in the order in which they are received. This is an intimately sized retreat, with a total capacity of 6 participants.

Fill in the form below. After completion, you will receive emails for full registration as well as the invoice for the payment option that you select.

A waitlist will be generated once spots are filled. I will contact you to let you know your placement on the waitlist.

***IF you happen to be purchasing as gift for someone, please fill in their information as the participant, and indicate that YOU are the purchaser in the notes at the end of this form. In the notes include your information: name, email, contact number. If this is a gift, please include how you would like them to be notified. I can make a gift certificate that you can print, at your request.

Email *

Participant Name *

Today's Date *

YYYY

Please choose your room accommodation option. (These requests will be processed in the order received. If your room selection is no longer available, you will be notified via email.) *

Single Room w/Queen Bed

Please confirm selection below.

~Retreat Reservation at $1297 per person, payment in full due. An invoice will be emailed upon registration.

Retreat Reservation: $1297

Required

Cancellation/Refund Policy:

If cancellation occurs by February 21st, you will be fully refunded. Any cancellation made between February 22nd - March 24th will result in a loss of $325. Remaining balance of payment made will be refunded. Any cancellation received from March 25th - April 22nd will result in a loss of 50% of the total trip full price. Remaining balance of payment made will be refunded. Any cancellation on or after April 23rd will result in a total loss of funds. I reserve the right to cancel the trip if the trip minimum is not met. If so, your payments are fully refunded. *Trip cancellation insurance is always recommended when making travel plans.

PLEASE ACKNOWLEDGE YOUR UNDERSTANDING BY SELECTING "I ACKNOWLEDGE AND AGREE" BELOW.

I ACKNOWLEDGE AND AGREE

NOTES: Please add your notes or any questions here.

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