Retreat Registration, Mindfulness Based Life Coaching

Retreat Registration

Thank you for your interest in attending our retreat. We are so excited to have you. Please fill out the following form and if we accept your registration we will send you a confirmation with your deposit invoice. Once we receive your deposit you will be officially registered for the retreat.

Retreat Registration

Name

First

Last

Phone

Address

Name of your emergency contact

Emergency contact phone

Retreat you are registering for and its date

List any food allergies here

Do you have any medical conditions that may affect you on this trip?

Have you completed an intro to mindfulness course through New Leaf?

Yes

If no, what is your experience with mindfulness?

The deposit for the trip is $100 and is non-refundable. We will not hold your space until we receive the deposit. The final payment is due 14 days prior to the start date. If you cancel less than 14 days before the trip, you will only receive 20% of the fee back. How would you like to pay the deposit?

send me an invoice via paypal

send me a credit card invoice via square

I will send a check made out to Erin Easton to 220 N Stough Ave, Montrose CO 81401

I will deliver the money to New Leaf Studio

If you are human, leave this field blank.