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Growing Sacred Community, New Lebanon, NY, Sept 27-29, 2019
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Email
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Your email
First name
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Last Name
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Your answer
Gender
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Street address
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City
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State/Province
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Zip Code
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Emergency Contact - name, phone number, relationship to you
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Mobile Phone (so we can reach you at the retreat if needed)
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Do you have any special physical or mobility needs that would be helpful for us to know?
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Do you have specific dietary needs ?
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Gluten Free
Dairy Free
Vegan
Other:
Would you like to share a space at the Shaman's market? (describe briefly your products)
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Do you need help finding people with whom to carpool to/from the retreat center?
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No
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Would you be willing and able to drive others for carpooling? *
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No
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Which lodging choice did you select?
Early Bird Commuter
Commuter
Early Bird Dormitory
Dormitory
Early Bird Double Room
Double Room
Early Bird Single Room
Single Room
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If you have selected Dormitory or Double room, please type the name(s) of the person(s) you would prefer to share the room with :
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