Retreats with Michael T. McRay
Please fill out the form to reserve a place for a retreat with Michael McRay.
Which retreat are you hoping to join? *
Required
Name *
Your answer
Full address (including city, state, and zip) *
Your answer
Email address *
Your answer
Phone number *
Your answer
Gender identity *
Your answer
Racial/ethnic identity? *
Your answer
Age? (Must be over 18) *
Your answer
Pronouns *
Dietary needs (not preferences) *
Your answer
Allergies to scents, nuts, or other things I should know about? *
Your answer
Physical Needs/Assistance *
Your answer
Are you able to drive yourself to the retreat or do you have access to a ride? *
FOR MY EYES ONLY: This retreat requires a deep dive into your personal life story and experiences. Do you have any trauma-triggers that I should know about? Not only in terms of content or language that can be triggering, but also potentially smells, tastes, or sights. *
Your answer
The cost of this retreat is $350. Sliding scale rates are available, however, from $250-$450 for those who cannot pay the full cost or who can afford to pay more to help those who must pay less. Please indicate below what you can afford to pay for this retreat. *
Would you be able to pay the full price of your ticket at once, or would you need a payment installment plan? *
How did you hear about this retreat? *
What are you most looking forward to about the retreat?
Your answer
Any remaining comments or questions?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy