Retreat Expression of Interest
"Join the dots in your life" retreats are led by Penny Elsley on the last weekend of March, May, July, September, November 2019 in Canberra ACT.

Read all about the retreat program here:

Request a full brochure by emailing

Fill in the form below to express interest in attending

Email *
Please provide your full name: *
Please provide your phone number: *
What is your location eg: Sydney
Which dates would you like to attend a joining the dots retreat: *
Please write one or two sentences about what sparks your interest in this retreat and what you are hoping to get out of it: *
Do you require accommodation on site? If so, please select which option would suit you best (noting the retreat runs over 2 nights but an extra night before and/or after is also available if required). All bedding and towels will be provided. Accommodation pricing is in addition to the retreat cost and is to be paid separately at the retreat. *
Prices are as follows: March retreat is an introductory price of $390. June / Sept retreats are $450. Nov retreat is $540 + GST. Once your participation in this retreat program is confirmed, you will be required to pay a 50% deposit (refundable up to 3 weeks before your retreat) and the remaining 50% one week prior to the retreat. If for any reason the program is cancelled your payment will be refunded immediately. Please select which of the following applies to you: *
This is a preliminary questionnaire. Once your participation is confirmed, further details, including payment information will be provided.
Thank you for your interest! I will be in touch, Penny
Never submit passwords through Google Forms.
This form was created inside of Welcome Dinner Project. Report Abuse