Registration - Step 1

Program Information

You are registering for:
Letting go of Anxiety, Fear and Depression
March 20-22, 20-25
Amelia Barili

Length of Program

*How many days do you want to attend?

Registrant Information

* Gender:

  1. Defaults to USA
  2. Repeated to be sure it is right
  3. If you are driving to MMC.

Housing Choice

* Please indicate your first and second choices for housing:

We will do our best to honor your first and second preferences.
If neither is available, we will assign the next best option, and waitlist you for your choices.

1st 2nd Housing Cost for
2 days
Cost for
5 days
Commuting $415 $945
Own Tent $441 $1010
Own Van $441 $1010
Dormitory $501 $1160
Triple $531 $1235
Double $575 $1345
Double w/ Bath $615 $1445
Single $635 $1495
Single w/ Bath $699 $1655

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

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

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

  1. Make sure that they register separately.



  1. Privacy Concerns?

How did you first hear about this program?

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

  1. 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:

  • Arrival and/or departure dates if they differ from your program's.
  • The ages and names of children you are bringing, if any. Children under 2 are free; between the ages of 2 and 12 are half-price; age 13 and older, please register him/her separately, as an adult.

Important Notes

  • Balance is due on arrival (Visa, MasterCard, cash or check only).
  • Cancellations made at least 2 weeks before your reservation date are fully refundable. Cancellations made 2 weeks to 48 hours prior to arrival date will be charged a $50 processing fee and the remaining payment will be held as a credit toward a future personal retreat or program. There are no refunds for cancellations made less than 48 hours prior to your reservation date.
  • 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: and