Harvesting Your Gifts for the World Registration Form

Harvesting Your Gifts for the World -
Please complete
short questionnaire ,
select your room type ,
Indicate any dietary needs,
send in your deposit.
You will be billed later for the balance due for room and board. Teachings are offered on a donation basis . At the retreat there will be an opportunity for you to give what you can for the teachers and the retreat coordination.

* Indicates required field

Name *

First

Last

Email *

What calls you to this retreat? *

What is your experience with the Work That Reconnects? *

Please tell us a little about yourself. A short 50 word bio. *

Select Room Type - You will be billed later. Please note that 3 meals a day are included with room cost. *

Scholarship Application *

Let us know any dietary needs or restrictions *

Submit