Mt. Shasta Retreat 
May 23-27, 2024
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Email *
Name *
Phone Number *
How did you hear about this retreat? *
What resonates with you most about this retreat? *
Accommodations -
Please choose your most preferred accommodation.
*
Are you traveling with someone friend/roommate/partner? *
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If yes, please list the name(s)
Do you have a preference of being matched with a roommate if you choose a double?  *
Do you have any food sensitivities/allergies/preferences we can accommodate ?
Are there any questions you have that we have not answered on the FAQs section on the website?
I understand that to reserve my space it's a $500 nonrefundable deposit (can be used towards healing sessions). Payment plans available upon request (monthly, 3 installments, 2 installments for additional % or pay upfront). Payments accepted via PayPal (friends and family or add 2% for goods and services), Venmo (friends and family or add 2% for goods and services), Check, Cashapp or you can be invoiced directly for credit card (add 3%) or bank transfer. (Please indicate below how you wish to pay below and what payment plan you are interested in).  Shawn will be in touch to set this up with you when this form is submitted.  *
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