Sacred Spaces Retreat Registration Form

Sacred Spaces Retreat Registration

OCTOBER 26,27,28     -    SERPENT  MOUND OHIO

Rediscover and Reclaim your Sacred Self

Name Last:		Name First:		Suffix (Mr. Ms. Mrs. Jr. III. Other):
Address:				Gender:   M 0 - F 0
City:		State:	Zip:	Early Bird Special Registration        (Before     September 15) -                $25 Reduction:
Phone:		Cell Number:
Email:
Special Needs – Physical/Dietary (Will attempt to accommodate): Anything else you would like to tell us?
How would you like your name to appear on certificates?
Single Occupancy room with 2 queen size beds) max 1 person ($375 / person)  0	Double Occupancy) room with 2 queen size beds  max 2 persons ($325 / persons) 0	Multiple Occupancy) room with 2 queen size beds max 3 or 4 persons  ($275 / each) 0	Have a Roommate -Name: _________________	Seeking Roommate: Yes 0   No0
Cost includes: Room Preference (rate accordingly), two breakfasts, one lunch, one dinner, Earned Certifications, Manuals, Handouts, Admissions to the Mound and any other retreat cost. NOTE: You will be responsible for one lunch and one dinner, snacks and other personal incidentals. Your room does have a refrigerator if you wish to avail yourself.
There will be an opportunity to stay for up to 2 hours extra on Sunday Various class options may be available to earn an additional Certificates (Reiki Awaking Academy). Please let us know your interest.			Munay-Ki Power Reiki Light Worker Reiki Basic Runes Elementals Animal Reiki	Other (please list):
Pay Registration to:		Paypal.me/amidangels
Check Amount Sent:		0 $375 0 $325 0 $275 0    Early Bird Verified 0