*
First name:
*
Last  name:
*
Email:
Address:
Street
*
*
City:
State/Province
 *
*
Country
*
Zip/postal Code
Phone
 *
Mobile Phone
*
Gender
       
*
Number of People in Your Party
Please let us know the names of others in your party.  Each of them needs to fill
in one of these reservation forms.
Please indicate whether you need to be picked up at the Ferry Landing on Lopez Island
(only available to people who take the 4pm ferry from Anacortes).                               
*
If you have a restricted diet please select from the following option.
Vegetarian Diet
Dairy Free
Gluten Free
If there is anything else you feel we should know or if you have any questions
please indicate below:
How did you hear about this event?:
 *
Copyright 2011 Body Spirit Healthwise LLC. All rights reserved.
       
    Renewal Retreat Registration

    Use this form to expedite your Renewal Retreat reservation.
    Each person in your party must fill out one of these forms.

    Space is limited so make sure you register early.  Registration ends 7 days before date of
    Retreat.

     The Renewal Retreat begins Friday at 6:00 pm and concludes Sunday at 11:30 am.

     Times have been coordinated to coincide with the weekend ferry schedules. Participants can park
     at the Anacortes ferry dock and be picked up at the ferry landing on Lopez if taking the 4:00 ferry.  

     To check ferry schedules, parking fees and fares go to www.wsdot.wa.gov/ferries/  or call 888-808-7977

     Your registration can only be guaranteed upon receipt of tuition and registration form.

     Tuition for Retreat:     $285.00      

     Accommodations for Retreat: (2 nights required)
     All rooms have shared bath.
  •  Private King w/ Cable    $100 per night
  • Shared King                       $60  per night
  • Shared Single                    $50 per night  
  • Tent Space**                      $25 per night         
          **Campers: Please bring your own tent, bedding, and flashlight

      You can pay by Paypal or check once registration information is entered.

      Note: Cancellations must be received by 10 days before date of retreat and will be subject to a $50
    processing fee.

    Guest Information    
     Note: All fields marked with an * are required
www.BodySpiritHealthwise.com -  Workshops / Retreats in the Northwest.   More than a workshop / vacation.

Body Spirit Healthwise