SnowFlower Retreat Registration 2019

October 18-20, 2019 at Bethel Horizons, Dodgeville, WI

First Name *
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Last Name *
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Affirmed Gender ID *
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2nd Participant First Name *
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2nd Participant Last Name *
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Affirmed Gender ID *
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Roommate Request (couples enter "couple" if desired)
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Accommodations (For onsite, check all that apply) *
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Address *
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City *
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State *
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Zip *
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E-mail *
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Phone *
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Registration Fee: Onsite at $210 for one, $420 for two; Camping or Offsite $155 for one, $310 for two *
Contribution to Thich Nhat Hanh Foundation
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Contribution to SnowFlower Scholarship Fund
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If paying by check enter total amount. Send to SnowFlower Sangha Retreat, c/o Celeste Robins, PO Box 3373, Madison WI 53704, or pay on online through PayPal (see link on retreats page). *
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Notes (sleep needs/patterns, dietary needs)
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