Half-Day Spring Retreat Registration

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Please fill out this form to register for the April 19th, 2020 retreat. Payment is due in full no later than April 1st.

First & Last Name *

Phone Number *

Email *

How did you hear about this retreat? *

What has inspired you to sign up for this retreat? *

Have you taken a retreat with Shirley or Camina Gillotti before? *

Yes

Is there anything else we should be aware of prior to the retreat? *

Method of Payment *

Mail a $70 check to: Camina Gillotti at 424 8th St. Suite A, Santa Rosa, Ca 95401

Other:

Submit

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