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 (enter x if only 1 participant)
*
Your answer
2nd Participant Last Name (enter x if only 1 participant)
*
Your answer
Affirmed Gender ID (enter x if only 1 participant)
*
Your answer
Roommate Request (couples enter "couple" if desired)
Your answer
Accommodations (For on-site, 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 (enter Paypal if not paying by check). 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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