Reclaim Your Life Retreat registration
Event Timing: July 15-17, 2022
Event Address: 208 Lake Elizabeth Drive, Centerville, MA 02632
Check in: Friday, July 15th 4pm
Check out: Sunday, July 17th 3pm
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Email *
Name *
Address *
Phone number *
Email *
Emergency contact name and number *
Dietary restrictions *
Please list any food allergies below.
Room selection (Based upon availability at time of payment in full)
Roommate request. Both/all roommates are required to fill in request (Based upon availability at time of payment in full)
I understand that I may have to provide a negative Covid test prior to arrival *
I understand that my payment is fully refundable if cancelled before May 15th 2022, 50% refundable if canceled by June 15th 2022 and non-refundable if canceled after June 15th 2022 *
How did you hear about our retreat? *
By checking below, I agree I have read, understand and agree to the Waiver and Release Agreement as displayed below *
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