Participant Contact Information

Name

Phone Number (cell phone preferred)

Address

Emergency Contact Name (Name of family member or friend)

Emergency Contact - Phone Number

If you would like to include your photo please upload here.

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Registration Information

Admin Use Only

1. Select your Registration Option.

2. Under Payment Options, select:

1. Full Payment OR 2. Deposit Payment.

If you select Deposit Payment your remaining balance will be processed with your credit card on file on the date indicated on your Confirmation Letter.

If there is a waitlist for the registration type you would like we encourage you to fill in the registration form and select the waitlist option (no payment necessary). We often find that there are changes to availability and a spot may open up. You may also contact us directly at [email protected] with any questions.

Registration Options - All prices in US Dollars

Single Occupancy ($4,095.00) [Join Waitlist]
Private room.
Shared Occupancy ($3,095.00)
2-3 people per room of the same Gender
Special ($2,047.50) [Join Waitlist]

Running Total

$0.00

Payment Processing Fee (non-refundable)

$35.00

Total

$35.00

Date of Birth

What gender do you identify as?

Male
Female
Other

Dietary Restrictions

Medical Conditions

Have you experienced a psychological condition such as depression, eating disorder, drug/alcohol addiction, anxiety disorder, psychosis, schizophrenia, mania or any other psychological condition that affected your ability to function?

Do you have a valid Passport? Please check with your country's State Dept. for guidelines. As a general rule, passports should have at least six months of validity after your departure from your destination.

Please enter your name as it appears on your passport

If your occupancy is a shared type, do you have a roommate request?

Yes. If you select 'Yes', you may enter the name of your roommate in the next field below.
No. If you select 'No' we will place you with another registrant(s) of the same gender.

How did you hear about this retreat?

What are your goals for your retreat week?

How can we make your trip special? We do our best to fulfill your requests but cannot guarantee that we honor them.

Travel Informatoin

This retreat has been officially confirmed. We ask that you provide this information no later than 6 weeks before your retreat.

Admin Notes

True Nature Highly Recommends Travel Insurance to Protect Your Purchase

We strongly recommend that all participants purchase travel insurance.

Click here to view information about our Travel Insurance partners.

After you register, you will receive a confirmation letter with a link to purchase travel insurance and protect yourself from losses due to unforeseen circumstances.

Terms & Conditions

Please review our Terms and Conditions. You are required to sign and check the boxes below to signify that you agree with the Terms and Conditions before your registration can be submitted.

Terms & Conditions

I, the undersigned, agree to the terms above.

By checking this box, I agree to the above Terms and Conditions, including True Nature Travel's Cancelation Policy.*

By checking this box, I confirm that I have reviewed the travel insurance options above. I also understand it is my responsibility to research and purchase travel insurance to protect my trip investment.*

If you would like to download a copy of the Terms and Conditions for your records, click here

Coupon or Voucher Code

Total

$35.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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