ADVANCING  SACRED  BIRTH  PRACTICES  RETREAT

 REGISTRATION FORM

Instructions:

1)  To register, please complete this form and press the Submit button. 

2)  A deposit (your lodging for three nights) is due at the time of registration to secure your space in the retreat. 

3)  Full payment is due two weeks prior to the retreat beginning (October 5, 2008).

4)  To pay a deposit or the full fee using PayPal, simply return to this form after pressing the Submit button. 

5)  If you want to make a payment and have already registered, just proceed to the bottom of the page and use the appropriate PayPal button - do not complete the registration form again

6)  You may also register or pay via regular mail; just follow the instructions at the bottom of this page.

7)  Please read the Payment and Refund policies below, before you register.

 

Your full name:

Your mailing address:

(street)

  (city, state, zip)

Your email address:

Your phone numbers:

home

work

cell

Where did you hear about this retreat?

Lodging Preference:

             Select a Room Type Room Type 1: Cabin w/ Bath $76/night Room Type 2: Cabin no bath $60/night Room Type 3: Dorm Room Room Type 4: Personal Vehicle camping  

If you know who you want to share a room with, what is her name?

Emergency Contact (while you are at the workshop):

        Name:           Relationship: 

        Phone Number(s): 

Anything else you'd like us to know?

I have read and understand the Payment Policy, Refund Policy, and Cancellation Policy

Yes No

 

 

To prevent automatic form submissions:

please enter the number you see in the picture below here:

 

 

 

You must click here to submit your registration form before making any payments:

                                                                                                                               

 

To pay in full now  (includes lodging and workshop fee):
Advancing Sacred Birth Retreat, Room Type 1, Cabin with Bathroom - $406
Advancing Sacred Birth Retreat, Room Type 2, Cabin without Bathroom - $358
Advancing Sacred Birth Retreat, Room Type 3, Dorm Room - $289
Advancing Sacred Birth Retreat, Room Type 4, Personal Vehicle camping- $253

To pay your deposit only now  (lodging only):
Advancing Sacred Birth Retreat, deposit, Room Type 1, Cabin with Bathroom - $306
Advancing Sacred Birth Retreat, deposit, Room Type 2, Cabin without Bathroom - $258
Advancing Sacred Birth Retreat, deposit, Room Type 3, Dorm Room - $189
Advancing Sacred Birth Retreat, deposit, Room Type 4, Personal Vehicle camping - $153
To pay your Workshop Fee only now:
Advancing Sacred Birth Retreat, workshop fee - $100

 

Payment Policy:  Your deposit, your lodging for the full three nights, is due at the time of registration.  The balance - the Workshop Fee - is due two weeks prior to the workshop beginning.   An invoice will be sent to you as a reminder  prior to payment due dates. 

 

Refund Policy:  Please understand that you are making an intentional commitment to us and your self when you register for the Advancing Sacred Birth Workshop.  Your deposit covers your lodging for the full three nights.  We must pay a non-refundable deposit and reserve your room at Breitenbush when you register , even if you cancel.  Plus, you may be preventing another deserving woman from attending.  So, if you cancel for any reason, there is NO REFUND of your deposit.  If you cancel 2 weeks or more before the workshop, your Workshop Fee may be refunded.  If you must cancel less than 2 weeks before the workshop, your Workshop Fee may be refunded if your spot can be filled by another participant on a waitlist.  If your spot cannot be filled, the amount of your Workshop Fee  will be applied to another workshop held by Big Belly Services within the next year. 

 

Cancellation by Big Belly Services Policy:  If fewer than 10 people have registered by September 28, 2008, the workshop may be cancelled and all Deposits and Workshop Fees will be refunded in full.

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