Registration Form
Note
: We need to recieve your deposit before you are registered. If you are sending a check, we recommend that you print out the PDF form and send them in together. Thank you.
For Printable PDF Form, Click Here
Retreat:
Permaculture Design Certification June 4-18, $1450
Dervish Healing Order
Stoking The Sacred Fire Aug. 2-6
Contemplative Environmental Studies
Vast Silence: Aug. 3-12
Singing in Circle: Aug. 11-15
Queer Spirituality: Sept. 2-6
Fierce Light w/ Velcrow Ripper Sept. 17-21
Today's Date:
Your Name:
Additional Name(s):
Child(ren) and Age(s):
Email:
Phone Number:
....................
Other Phone:
..........
Emergency Contact Info:
Name
:
.......................................................................
.
Phone:
....
Mailing Address:
City:
...........................................
State:
....................
ZIP:
..............................
Country:
..........
............
............
Please let us know if you have any health concerns or special dietary needs ( eg. vegan, gluten-free or raw food).
I wish to recieve confirmation and retreatant info by: Email
Postal Mail
Both
Housing: ...
Tent
...Car Camping
...Dorm space at $10-$25 a day (sliding scale)
Carpool: .....
I can offer a ride
.....I need a ride
.....Neither
Retreat Cost:
$
.............X number of adults =
$
$
...1/2 X number of children =
$
+ cost of dormitory at $10-$25 per day
.........=$
...................................................................... Total =
$
Deposit 50% of total
.............................Deposit =
$
If registering within 30 days of retreat start, 100% of total is due.
Please call us to pay with a credit card or if you have any questions.
.
Thank you. We look forward to seeing you!
The Lama Foundation
P.O. Box 240, San Cristobal, NM 87564
Telephone: 575-586-1269, Fax: 206-984-0916
©2005, The Lama Foundation. All rights reserved.
S
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