Women's Mindfulness Retreat Registration
August 17-19, 2018
The Aircastle, Pocono Manor, PA
with Amy Ward Brimmer and Cindy Herr

Please note: Enrollment for this retreat is very limited and will fill quickly.

Email address *
AmyName *
917-216-5850 *
Alternate Phone Number
124 S. Bell Ave. Yardley pa 19067 *
Lodging
The Aircastle is a private home with several bedrooms, offering a variety of sleeping arrangements. There are 3 singles (which can be shared by a couple), 3 doubles, and 1 quad. Each floor has a shared bath. Accommodations are priced per person. PLEASE NOTE: SINGLES ARE SOLD OUT.

Fees are all-inclusive for two nights and 6 meals. [Please note: this does not include payment for the teachers, who are accepting donations for the weekend.]

Please indicate your lodging preference: *
Meals
We will be preparing meals and cleaning up cooperatively. Each participant will help cook one meal and do cleanup for one meal, with at least one other person. Teams for cooking will plan their meal and bring the ingredients to make it. Don’t worry, we will give you more detailed information prior to the retreat, and assist with planning and basic provisions.
Friday dinner and Sunday lunch will be provided by the teachers.
I would like to help make the following meal: *
You'll only be assigned one meal to help make, but you may select more than one option if you don't have a strong preference.
Required
I would like to help clean up: *
You'll only be assigned one meal to help clean up, but you may select more than one option if you don't have a strong preference.
Required
Please Tell Us A Little About Yourself
long time meditator *
Yoga expertWhat is your experience with mindful movement? How often do you practice yoga, tai chi, qigong, or other forms? *
PeaceWhy do you want to attend this retreat? What do you hope to gain by participating? *
Do you have any questions or concerns? Please share them here.
Payment
We prefer payment in full at the time of registration. If necessary, you may make a non-refundable deposit of $100 to hold your place, with the balance due by August 6 (unless other arrangements have been made).

You may send a check payable to Amy Ward Brimmer to 124 S. Bell Ave., Yardley, PA 19067

Or pay by credit card using Pay Pal links on the confirmation page (click submit).

Payment
We prefer payment in full at the time of registration. If necessary, you may make a non-refundable deposit of $100 to hold your place, with the balance due by August 6 (unless other arrangements have been made).

You may send a check payable to Amy Ward Brimmer to 124 S. Bell Ave., Yardley, PA 19067

Or pay by credit card using Pay Pal links on the confirmation page (click submit).

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