Dragon's Path Retreat Registration Form
Ready for adventure? Please complete this registration form to join the retreat. Don't forget to read the Terms & Conditions carefully as you are bound to them upon submitting registration.

Please complete a separate form for each traveler.

Travel Destination: Ananda Village, Nevada City, California
Travel Dates: April 20=27. 2019
Hosting Organization:Two Open Hearts

Full Name
Your answer
Preferred Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Mailing Address Including City & Zipcode
Your answer
Cell Phone Number
Your answer
Alternative Phone Number
Your answer
Email Address
Your answer
Lodging Selection
Name of Roommate
Your answer
Will you need a shuttle from Sacramento International Airport?
How would you like to pay for the trip?
Trip cost is $3000 based on double occupancy. $900 deposit due upon booking ($250 non-refundable). Balance due by Oct 2, 2018. An invoice will be sent to you once registration is received. You are very welcome to pay with credit card but note a 3.33% surcharge applies.
Please share special accommodations needed including dietary restrictions/preferences, medical conditions, allergies, limited mobility, etcetera. And don't be shy, we really need to know these things and we are happy to accommodate!
Your answer
Emergency Contact Name (an individual not traveling with you)
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Phone Number
Your answer
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