Summer Retreat 2021 Registration
Conception Bay Renewal Centre
Sign in to Google
to save your progress.
Phone number (cell if possible)
Note: The first sitting begins at 8 am, and the last sitting ends at 8 pm.
½-day includes the morning practice, tea break, and lunch /
Afternoon practice starts at 1:30 pm, tea break, talk, supper, and practice until close.
Staying which days?
Approximate time of arrival
Emergency contact (Name and phone number)
$80/day incl. overnight
$60/day without overnight
$525 total for entire retreat incl. overnight
Other arrangements: (Please specify)
Method of payment - due by July 3
E-Transfer. Send to:
. Security Question: What month were you born? Answer: December
Cheque or cash: Drop off at 58 Pennywell Rd.
The information on this form will be kept confidential by Safer Mindfulness, and will not be shared with a third party.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service