DESIGN FOR LIVING: 3-Day Spiritual Retreat

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1 Welcome

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$545.00 – Program Price - Single Room, meals included, per person

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$425.00 – Program Price - Shared Room, meals included, per person

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$295.00 – Program Price - Commuter, meals included, per person

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Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

After completing this form, emails will be sent to everyone in your group to complete their information.

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Address 2
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Dietary Restrictions *	Dietary restrictions are collected for information purposes. We do our best to offer varied meal choices to satisfy most diets. We regret that we are not equipped to accommodate individual needs. A guest microwave oven & refrigerator are available for any special foods you may need to bring with you.
Do you have any food allergies or dietary needs?
Any other allergies?
Requested Roommate	Please let us know who you are requesting to be assigned a shared room with.
Medical or Mobility Notes	Enter "none" if you have no issues
Comments or Special Needs
How did you hear about us?
Email newsletter	Please send me the email newsletter
Car Make / Model / Color

$	Donate to Mary & Joseph Retreat Center Donors will be invited to attend our annual Donor Appreciation Reception held in December.

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