CEC Retreat Registration - August 9-12, 2018
Greetings, Explorers of Consciousness

Please fill out this form if you wish to attend CEC's Meditate-Celebrate-Activate Retreat at Ecology Retreat Centre in Hockley Valley this August. We will contact you within a few days to let you know if there is space. If so, we will ask you to pay to hold your spot. Payment may be made by e-transfer or credit card.

If you have any questions, please check the retreat page on the CEC website, or email us at consciousnessexplorersclub@gmail.com

Email address *
Name *
Please provide your first and last name
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Phone Number *
Cell or the best number to reach you for ride sharing and last minute information
Your answer
Your address *
Including postal code
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Emergency Contact *
Please provide the name, relation, email and phone number of a person to contact in case you are accidentally killed
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