New York Area Diamond Approach, January 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome! We are glad you are registering for the NYADA January, 2021, Retreat.

Where: For this retreat, all the teachings will be done by video conference via Zoom

Cost: $265.

Schedule:

January 9
10:00 - 1:00 Meeting
2:30 - 5:30 Meeting

January 10
10:00 - 1:00 Meeting
2:30 - 5:30 Meeting

January 11
7:00 - 9:00 pm Meeting

REGISTRATION INVOLVES THE FOLLOWING 1. Filling out and clicking submit at the end of this form. 2. Paying the teacher fee, either though Venmo, PayPal or a personal check. After you complete the registration, you will receive a follow up email about logistics for the retreat and other pertinent information.

There is a limited amount of scholarship available based on financial need. Email Noell Goldberg at noellgoldberg@gmail.com if you would like to request scholarship to participate on the retreat.

For all general logistical questions, you can email Noell Goldberg at noellgoldberg@gmail.com.

Email address *

First name *

Last Name *

Phone Number *

Where do you live? City, State *

Email address again (just to make sure we have it right) *

Teaching Fee. The teaching fee is $265. Pay by PayPal, Venmo, or by check. *

By PayPal. After you complete and submit this registration form, go to paypal and make your payment payable to "noellgoldberg@gmail.com"

By Check. Mail a check made out to "New York Area Diamond Approach" and mail to Noell Goldberg, 18 Algernon Street, Cornwall, NY 12518

By Venmo. After you complete and submit this registration form, go to Venmo and make your payment to "noellgoldberg@gmail.com"

How did you hear about the retreat?

What is your experience with the Diamond Approach? *

Do you have any questions about the retreat? *

Can we add your email address to our mailing list for future Diamond Approach events? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms