2023 Peace & Purpose Retreat Registration

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency contact information (name and phone number)

What accommodation are you interested in booking? (A $500 minimum deposit will be required prior to registration confirmation.)

Shared Glamping Tent ($2,500)

Personal Glamping Tent ($2,882)

Carriage House ($3,060)

Tell me a little about yourself and why you are interested in participating in this Peace & Purpose experience.

What other retreats have you attended? What were the high and low points of your experience(s)?

What food preferences or allergies should we be aware of?

What is your level of experience with kayaking?

Beginner (new, with little to no skills)

Intermediate (know basic strokes and maneuvers)

Advanced (experienced paddler and confident in all types of water)

What is your experience with meditation?

I have never practiced meditation.

I have meditated before but am not currently or an infrequent practicer.

I meditate daily/regularly.