Northeast Retreat Registration Form
To complete registration for the Southeast Retreat in Dansville, NY (June 1-3), please complete all 3 steps. Fill out this form, sign + return the waiver, and submit your deposit at www.paypal.me/retreats.
Preferred name (first and last):
Your answer
Email address:
Your answer
Cell:
Please include area code.
Your answer
Your home City, State:
List like this: Dallas, TX
Your answer
Payment Options:
Select which option applies to you and submit payment via Paypal to retreat@mydgroup.org
Who is your D-Group Leader?
If you're the Leader, write your name here (first and last).
Your answer
Is this your first D-Group Retreat?
Required
Do you have any food allergies?
Required
If you answered yes above, please list food allergies here:
Gluten Free, Dairy Free, etc.
Your answer
Regarding beds & sleeping, share with us below:
Please read ALL the options below and select the answers that apply. You can check more than one option.
Required
What size t-shirt do you wear?
Is there anything you want to share about your expectations, hopes, needs, or fears regarding this retreat?
Your answer
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