2009 Jemez Spiritual Retreat Registration Form
Name:
Address:
City/State/Zip:
Home Phone/Cell Phone:
E-mail:
Date of Birth:
Essential Dietary Restrictions:
Serious Health Considerations
I am willing to arrive one day early (at my own expense) and help with the pre-retreat preparations.
Type of Lodging (please choose one)
Tent Camping
Dorm Lodging
Motel Room for Couples
Comments:
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