b.Nature Retreat - Registration Form

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Thank you for your interest. Kindly fill out the form below.. Your responses are held in highest confidentiality, are not distributed to other parties, and allow us to determine how to best serve the needs of those interested in our programs. Please contact info@ahameducation.org for questions or comments.

First Name *

Last Name *

Date of birth *

YYYY

Zip code, city, and country where you reside *

Zip code, city, country where you work *

Email address *

Telephone (compatible with WhatsApp and messaging) - include country code and area code *

Prior experience with mindfulness, mind body or other healing-centered courses or retreats (none necessary) *

Organization or School or Institution you are affiliated with *

Briefly describe your role, interests and experience as a changemaker in the world. *

Why do you want to participate in this program? What do you hope to gain? *

Which retreat are you interested in? *

5-day Retreat, Avila Center for Community Leadership, Durham North Carolina, Dec 4-9, 2026

3-day Retreat, Garrison Institute, Garrison, New York in Mar 12-14, 2027 (Details coming soon)

Required

If you selected the Retreat in North Carolina, December 4-9, 2026*, which option are you committed to?

Please proceed to payment portal based on your selection below to pay for your registration.
Deadline to register for early bird pricing is October 1.
After October 1, prices increase 10 percent.
Retreat pricing includes meals and accommodation. Participants are responsible for travel to and from the Avila Center for Community Leadership

One Day Retreat Experience on Saturday Dec 5, 2026 ($99)

3-day Retreat - Friday Dec 4 to Sunday Dec 6, 2026 ($360 double room / $450 single room before Oct 1)

5-day Retreat- Dec 4-9, 2026 ($810 double room / $990 single room before Oct 1) *Required for b.Nature Leadership Certification

Required

A registration fee of $99 is required to hold your spot for the retreat. This amount will go towards registration. If you are only attending the 1-day, the registration fee covers your participation.
The registration fee is nonrefundable within 60 days of the retreat date. Refunds exclude processing fees.
If you choose not to make a deposit, you will be added to a waiting list to complete full registration on a first come first serve basis by October 1.
(Click here to pay on PAYPAL)
Scholarship requests due by September 14 at https://tinyurl.com/ahamscholarship *

I would like to hold my spot and am paying the full registration and retreat fees now.

I would like to apply for a partial scholarship and will pay the $99 registration fee if awarded (limited scholarships, does not include travel)

I would like to make a donation / dana to support the participation of others at the link above

I would like to be added to the waiting list and will confirm/pay fees by the Oct 1 deadline. (your spot will not be guranteed)

Required

Please review the retreat dates and times.
Except for emergencies that may arise, are you available to attend the entire retreat? *

Yes

Required

If you answered "no" above, please explain below:

How did you find out about this program *

Facebook / Other Social Media Marketing outlet

AHAM Education program participant

United Nations network

SCEN / Climate Action Network

Community event

Friend / colleague / relative

Other:

Required

Thank you for your interest, we will be contacting you soon.

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