Mendocino Women's Retreat Registration Form
September 20 thru 22, 2019 at River's Bend, Philo CA
*** All registrations and payments must be received by 9/3/2019 ***
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Emergency Contact *
Please put in name, phone and email
Your answer
Special Needs—Dietary Preferences—Comments:
Your answer
Name of preferred roommate if sharing accommodations
Your answer
ACCOMMODATIONS (prices are per person)
LODGES have bedrooms, bathrooms, couches, wood stove & heater
Please check the lodging of your choice. Register early to increase your chance of getting the accommodations you want.
RUSTIC CABINS have electricity, wood stove heat, shared bathhouse
CAMPING available in protected meadow with solar showers and privies.
Campers have access to the shower house and toilets up by main facility
MWR Registration Form
River's Bend Retreat Center, 18450 Ray's Rd, Philo, CA
Site opens at 3pm Friday ~ Retreat closes at 3pm on Sunday

PRICE INCLUDES: Lodging and meals.
Sheets and comforter provided on bed in lodges.
For rustic cabins bring bedding.
Everyone needs to bring towels and toiletries.

REFUND POLICY: Full refund through July 25, 2019.
50% Refund July 26 through September 3, 2019
No refund after September 3, 2019.

After completing registration form please MAKE YOUR PAYMENT
by following the instructions on our Retreat website REGISTER tab.
OR via mail:
Make check payable to MWR and mail to: MWR, P O Box 72, Fort Bragg, CA 95437
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