CEC Retreat Registration - July 11-14, 2019
Greetings, Explorers of Consciousness!

Please fill out this form if you wish to attend CEC's Meditate-Celebrate-Activate Retreat at Ecology Retreat Centre in Hockley Valley this July. The retreat will begin the morning of July 11 and end late afternoon on July 14. We will contact you within a few days to let you know if there is space. If so, we will ask you to pay to hold your spot. Payment may be made by cheque, e-transfer or credit card via Paypal.

If you have any questions, please check the retreat page on the CEC website, or email us at consciousnessexplorersclub@gmail.com

Email address *
Name *
Please provide your first and last name
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Phone Number *
Cell or the best number to reach you for ride sharing and last minute information
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Your address *
Including postal code
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Emergency Contact *
Please provide the name, relation, email and phone number of a person to contact in case you are accidentally levitated into outer space with all the enlightenment
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