SnowFlower Retreat Registration 2019
October 18-20, 2019 at Bethel Horizons, Dodgeville, WI
* Required
First Name
*
Your answer
Last Name
*
Your answer
Affirmed Gender ID
*
Your answer
2nd Participant First Name
*
Your answer
2nd Participant Last Name
*
Your answer
Affirmed Gender ID
*
Your answer
Roommate Request (couples enter "couple" if desired)
Your answer
Accommodations (For onsite, check all that apply)
*
On-site with 5 minute walk
On-site with at 15 minute plus walk
Off-site
Camping
Required
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
E-mail
*
Your answer
Phone
*
Your answer
Registration Fee: Onsite at $210 for one, $420 for two; Camping or Offsite $155 for one, $310 for two
*
$210
$420
$155
$310
Contribution to Thich Nhat Hanh Foundation
Your answer
Contribution to SnowFlower Scholarship Fund
Your answer
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).
*
Your answer
Notes (sleep needs/patterns, dietary needs)
Your answer
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I need a ride
I can offer a ride
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