Explore 4 Fall 2015 Registration
Please note that at this time we are FULL for this retreat. If you would like to be on the waiting list, sign up below, and we will notify you if/when a spot becomes available. Thank you for your interest!

Retreat details: November 8-13, 2015, Friday Harbor, Washington (arrive November 8; workshop November 9-12; depart November 13).
Be sure to click "submit" at the bottom of this form - you'll be taken to a confirmation page which will provide all the details you need right now in order to be ready for the retreat! We'll also send out e-mail reminders when the retreat date is closer.
Name
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E-Mail Address
Street Address
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State
Zip Code
Phone Number
Emergency Contact
Name and phone
Personal Liability and Indemnification Agreement: Please type your name
I take your safety and the security of your belongings very seriously, but I cannot be liable for any personal injury, loss/theft or damage any time during the retreat. Your attendance constitutes your agreement to indemnify Deborah Robson and Callosamia, LLC, from any claim for injury, loss, or damage for any reason. You are responsible for any damage to the retreat property, facilities, or equipment caused by you through negligence or willful intent. Please type your name below.
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