May 2019 Retreat Registration – Payment

ON RETREAT WITH GENEEN

ONLINE DEPOSIT PAYMENT

SPRING 2019 RETREAT - May 14-19, 2019 - Mount Madonna Center - Watsonville, CA

Deposit - $595.00 — Late Registration Fee of $95 is applied after May 1, 2019.

Please fill out all information requested on this page to continue your registration.

Room Selection
Room selection will allocated based on the date of your registration, on a first come first serve basis.
Please indicate your first three choices. We will make every effort to provide you with your first choice.


First Room Choice:
Second Room Choice:
Third Room Choice:

Sleep Patterns:

Date of Birth:
Profession:

      How did you hear about the retreat?
Facebook/Twitter
Free Call
Email
Website
Past Retreat
If you selected past retreat - which past retreat?
    
Workship
If you selected workshop - which workshop?
    
Book
Friend or Family Member
Therapist
Other
If you selected other - please specify where.
    

Deposit Payment
Please click on the button below to continue your deposit payment.