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Summer Retreat 2021 Registration
Conception Bay Renewal Centre
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Name
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Phone number (cell if possible)
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Email address
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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?
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Staying overnight?
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Approximate time of arrival
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Dietary requirements
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Emergency contact (Name and phone number)
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Payment Details
$80/day incl. overnight
$60/day without overnight
$525 total for entire retreat incl. overnight
Other arrangements: (Please specify)
Payment Amount
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Method of payment - due by July 3
E-Transfer. Send to:
andrew@safermindfulness.com
. Security Question: What month were you born? Answer: December
Cheque or cash: Drop off at 58 Pennywell Rd.
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