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Online Registration

You are registering for:

Program:
Women's Self-Renewal Retreat
Dates:
June 3-8
Presenter:
Sarita Shrestha

Registrant Information

  3. * Gender:

  9. Defaults to USA
  10. At least one phone number is required
  14. Repeated to be sure it is right
Continuing Education Credits

  1. If you are a nurse and wish to receive a CEU certificate

    Like this: RN98765.
    If you only want a certificate of completion enter COMP for the license #.
Housing Choice


  1. 1st 2nd Housing Cost
    Commuting $1050
    Own Van $1115
    Own Tent $1115
    Center Tent $1150
    Dormitory $1245
    Triple $1295
    Double $1340
    Double w/ Bath $1400
    Single $1490
    Single w/ Bath $1605

    If you have a physical disability that limits where you can be housed, please note this in “Additional Requests” below.

  2. If given a choice, would you prefer a cabin or a room?
    What's the difference?

  3. If you wish to share your housing with someone, put their name here:

    1. ← Make sure that they register separately.
Preferences

  1. Carpooling

    2. Privacy Concerns?
    3. Another option is to pay for a ride from an MMC staff member.

  2. How did you first hear about this program?

  3. Shall we keep you informed of events at Mount Madonna Center?

    6. What is MMI?

Please contact me regarding
massage or other bodywork during my stay.

Would you like to contribute to our
Green Fund?

Green Funds will be used for sustainable innovations and eco-events at MMC.

Additional Requests

Include the following in your additional requests:

  • The ages of children you are bringing, if any.
  • Arrival and/or departure dates if they differ from your program's.

Important Notes

  • Balance is due on arrival (Visa, MasterCard, cash or check only).

  • Of the $200 deposit, $100 is a practitioner's fee. If you cancel more than 2 weeks before the program, the $100 practitioner's fee will be refunded, and $50 of the remaining $100 deposit will be credited to another program within one year; a $50 processing fee will be retained by the Center. If you cancel within 2 weeks of the start of the program, the entire $200 is forfeited. Deposits are not transferable to another person. There is no refund for leaving the program early, or for no-shows. Housing changes incur a $20 fee.

  • This form does not automatically reserve your spot for the program. You are not registered until we receive your deposit. If the program is full, your deposit will be refunded.
  • Housing is not always available. Do not finalize your travel plans until you have received a housing confirmation from Mount Madonna Center.
  • We will be sending you a confirmation email. Don't let it end up in your spam folder. Add the following addresses to your list of acceptable emails: reservations@mountmadonna.org and programs@mountmadonna.org.