CIRCUIT OF CHANGE WINTER 2020 RETREAT
Nosara, Costa Rica
February 15-21, 2020

This is the official registration document for this retreat and is needed to complete your registration.
Your space is reserved upon receipt of this form and your $500 deposit payment.

We strive to accommodate your first room choice, but in the event that your choice is not available,
we will contact you with details.

The pricing listed below does not reflect our early bird discount.
We are offering $100 OFF if paid in full by August 15, 2019.

For retreat pricing & cancellation details please visit https://www.circuitofchange.com/products/costa-rica-retreat
email info@circuitofchange.com with questions

Email address *
Full Name (First & Last) *
Your answer
Room Choice *
Do you have a roommate / roommates you would like to be paired with? Please name them here
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service