Dancing with Grace Retreat 2022 Registration Form
Submit this form to register for the Dancing With Grace Retreat Friday June 17 5pm through Sunday June 19 3pm, plus optional pre-retreat and post-retreat days. Please mail checks made out to Foundation of Light, 391 Turkey Hill Road, Ithaca, NY 14850. Or pay via paypal at paypal.me/foundationoflight 
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Email *
Phone *
Your phone number
Address *
Your mailing address
# Adults *
Number of adults (18 or over) attending
Names *
Full Name of all adult registrants
# Child
Number of children attending
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Children
Age and Full Name for all children registrants
Pymt adult amt *
Payment amount for all adults? $195-$305 voluntary sliding scale per person Early Bird Rate by June 1,  $220-$330 after June 1.
Pymt child amt
Payment amount for all children? $90-$160 voluntary sliding scale per 4-17yo, Early Bird Rate by June 1,  $120-$180 after June 1.
Add days
Staying additional days/nights?  (1-2 meals provided per day. Expect to help on prep/breakdown!) Check all that apply.
Lodging
Bed in Cabin ($100 for 2-6 nights), your own tent, (no charge) or commute/off-site lodging (no charge)?
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Pymt addl days
Additional days payment amount? $44-$77/night/adult, voluntary sliding scale, Early Bird Rate until 6/1. $55-$99/night/adult after 6/1. Kids 4-17, $33-$66 until 6/1; $44-$77 after 6/1. 3yo or under free.
Total *
Total payment for Dance Retreat & any additional nights
Payment Method *
Will you be mailing a check or using Paypal?
Work Exchange
Want Work exchange/ volunteer role? We'll all contribute some time to the success of the gathering. If you want or need to help out in exchange for reduced fee, check below
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Lead Dance(s)?
Are you a dance leader or leader-in-training, & want to lead one or more Dances(s) at Arnot Forest? Please contact Azad at azad@thefoundationoflight.org
Lead Workshop?
Workshop(s) you'd like to offer? Please give title, preferred time length, and short description
Take workshop?
Workshops you'd especially like to take or see offered?
Kid camp?
Able to help with children's camp? Please contact Miss Devon at Devonandearth@gmail.com 
Ride offered
Can you offer a ride? From where? When?
Ride needed
Do you need a ride? From where? When?
Diet
Do you have special dietary needs? If you have special needs other than vegan or gluten-free, please be sure to bring what you will need. Please contact our kitchen coordinator to speak with him about any special dietary needs.
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Notes
Notes, Comments? Use this space to tell us any further info you think we'd like to or need to hear for your registration and attendance.
Form feedback
Form feedback? Having trouble with this form? Let us know here, or email azad@thefoundationoflight.org or call Azad at 607-379-3444. Thanks!
A copy of your responses will be emailed to the address you provided.
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