Women in Recovery: A Spiritual Retreat

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1 Welcome

Add extra nights: nights before and nights after

I'll Cover the Cost of My Attendance

Selecting this option doesn't change anything; you just pay the base rate, which covers the cost of your attendance.

$0.00

I Can Pay It Forward (+$100)

Use this option if you are in a place to contribute more than the base cost of your attendance. Thank you for helping others attend!

$100.00

Select quantity

I Need a Little Help (-$100)

We want attendance at these retreats to be open to everyone. Use this option to take $100 off the base price.

-$100.00

Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Gender *	Primarily used to pair roommates when applicable.
Access Needs *	In other words, what can we do so that you can show up at your most brilliant and joyful? For example, do you need a room on the same floor as the meeting room because stairs are difficult for you? Do you need access to a bathroom with grab rails, or sign language interpretation? etc
Dietary Needs
Dietary notes
What is your race/ethnicity?	We ask because it helps us ensure a diverse group of participants.
Do you identify as LGBTQ+?
Do you identify as a person with a disability?
What age group do you fall under?	18-30 31-40 41-50 51-60 60+
Requested Roommate	Most rooms are double occupancy and depending on attendance you may have a roommate. Do you have someone you would like to room with if possible?
Comments or Other Needs
Emergency Contact Info
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Discount code

Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*

$	General Fund Donations to the General Fund help us to keep the lights on, repair a furnace, or otherwise use resources where and when we need them most.
$	Equity Fund In recognition of the racial wealth gap, our Equity Fund allows us to provide additional scholarship assistance to Black, Indigenous, and People of Color retreatants; partially subsidize retreats for movement organizations led by Black, Indigenous, and People of Color; and make changes to create a more welcoming environment for BIPOC attendees.

50% Deposit	$0
	$0 next payment date * last payment amount will be $0