Takoja Retreat | June 30 - July 3
*Once you submit this form, we will email information for payment, and insurance/liability: provide this and signatures, to complete registration. Final payment in full is due no later than June 1.

$100/day | Retreat day rate (includes lodging, workshops and meals)
$50/day | Non retreat day rate (includes lodging, excludes meals and workshops)

*four full days required for registration
*All rates apply for lodging or camping on site
*Standard New Mexico Sales Tax and Processing Fees Apply

Contact us for questions at 505.850.4279 or info@takoja.org or fill out the final section of this registration form

Email address *
Email Address
Cell *
Mailing Address (snail mail!) *
Emergency Contact Name (must not be at the retreat with you) *
Please provide relationship to emergency contact and cell number.
Dietary restrictions or preference
Please list any physical inabilities or injuries
Are you interested in staying at Takoja days in advance or after the retreat? *
Do you have interest in teaching a workshop at the Takoja Retreat? *
Share a few details of your interest in teaching a workshop.
Are you planning to camp on the land?
Anything we missed?
Never submit passwords through Google Forms.
This form was created inside of Takoja. - Terms of Service