Registration Form for Spring Retreat
First Name
Last Name
Address
City
State
Country
Zip Code
Home Phone
Work or Cell Phone
Email
Total amount paid/due
Payment: Check by Mail
Make checks payable to:
Kendra Espinoza
XXXX Street St.
City, State XXXXX
Cancellation policy: 30 days prior to retreat: $75.00 cancellation fee. Any cancellations within 14 days of the retreat: $200 cancellation fee. For all of the above cancellations, if your spot is f illed, you will be given a full refund.
All cancellation fees can be applied toward future retreats
Emergency Contact
Emergency Contact Phone Number
Comments or Questions