JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration for the Breath of God Retreat
the Breath of God
a Mindfulness
*
and Meditation Retreat
*“non-judgmental awareness of the present moment.”
November 10-12, 2023
Harbor Villa Retreat Center
~Rockaway Beach, Oregon~
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your full Name
*
Your answer
Your pronouns
*
Your answer
Your email
*
Your answer
Phone for texting
Your answer
Please list any special dietary or housing needs
Your answer
Which housing option are you needing?
*
private room (1 double bed) ($225)
shared room (1 double bed) ($200) (please list roommate below)
Dorm Room (Twin bed) ($175)
Other comments (including roommate's name if applicable)
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms