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Online Registration

You are registering for a Personal Retreat.


Length of Stay
  1. Format dates like this: 6/17/09   mm/dd/yy
  2. Just 6/17 is okay, too, if the year is the current year
Unfortunately, you cannot stay these nights: November 14-18, November 22-23
Personal Information

  3. * Gender:

  9. Defaults to USA
  10. Home or Work phone is required
  14. Repeated to be sure it is right
Housing Choice
  1. 1st 2nd Housing Cost
    Commuting 33
    Own Van 45
    Own Tent 45
    Center Tent 52
    Double 88
    Double w/ Bath 99
    Single 116
    Single w/ Bath 138

    If you have a physical disability that limits where you can be housed, please note this in “Additional Requests” below.

  2. If given a choice, would you prefer a cabin or a room?
    What's the difference?

  3. If you wish to share your housing with someone, put their name here:

    1. ← Make sure that they register separately.
Preferences

  1. Carpooling

    1. Privacy Concerns?

  2. How did you first hear about this program?

  3. Shall we keep you informed of events at Mount Madonna Center?

    6. What is MMI?
Please contact me regarding
massage or other bodywork during my stay.

Would you like to contribute to our
Green Fund?

Green Funds will be used for sustainable innovations and eco-events at MMC.

Additional Requests

Include the following in your additional requests:

  • The ages of children you are bringing, if any.
  • Arrival and/or departure dates if they differ from your program's.

Important Notes

  • Balance is due on arrival (Visa, MasterCard, cash or check only).

  • For cancellations received at least two weeks before your personal retreat, half of the required deposit will be charged as a processing fee, and half will be credited to any other program within one year. There is a $20 fee for housing changes. No credit or refund is available if you fail to give proper notice, if you do not show up, or if you leave an event early.

  • This form does not automatically reserve your spot for the program. You are not registered until we receive your deposit. If the program is full, your deposit will be refunded.
  • Housing is not always available. Do not finalize your travel plans until you have received a housing confirmation from Mount Madonna Center.