Miraval Austin 2019
Registration Form for Journey Forward to Self Compassion
Emergency Contact: Name, phone # and email
Payment: $799 (or $649 for Early Bird Discount by 4/30/2019)
Pay in Full
Pay 50% deposit ($339.50 or $324.50 if registered by 4/30/2019) - remainder due by 9/13/2019
50% Deposit Payment Method ($399.50; or $324.50 if prior to April 30th)
; "Friends & Family" option)
Check (mail to: Joree Rose 50 Oak Ct. Suite 105, Danville, CA 94526)
Credit Card (Joree will call you to get credit card #)
Have you been on a retreat before?
If so, where and when?
Please explain any emotional or medical conditions Joree should be aware of
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