Registration Form - August — The Body Sacred

Retreat Registration Form August Shalom

RETREAT TITLE

RETREAT DATES

DEADLINE TO REGISTER

This retreat is held at Shalom Mountain Retreat Center in Livinston Manor, NY.

The retreat begins at 6 pm on Wednesday and finishes at 1 pm on Sunday.

Applications received after XX-XX-XXXX will be accepted but placed on the waiting list; you will be contacted only if there is space.

FULL PAYMENT DUE BEFORE THE RETREAT! We must receive your entire, full balance on or before XX-XX-XXXX.

Retreat Costs

Pricing for this retreat is per person depending on where you want to sleep. We offer a sliding scale option as outlined below:

Income less than $35,000 - (Tenting) - $abc
Income less than $35,000 - (Room Indoors) - $xyz
$35,000 - $50,000 - (Tenting) - $abc
$35,000 - $50,000 - (Room Indoors) - $xyz
$50,000 - $75,000 - (Tenting) - $abc
$50,000 - $75,000 - (Room Indoors) - $xyz
$75,000 - $100,000 - (Tenting) - $abc
$75,000 - $100,000 - (Room Indoors) - $xyz
Over $100,000 - (Tenting) - $abc
Over $100,000 -(Room Indoors) - $xyz

Donations above the sliding scale are welcome in any amount and help us keep fees lower.

IMPORTANT: While completing the registration form below:

Please choose the appropriate amount from the dropdown menu.
Please keep track of your balance due and/or remaining balance. You will need the information to make your payment(s) and complete registration.
If you have any questions, please contact XXXXXX@gmail.com.

Discounts

Early Bird Discount: If entire balance owed is paid by XX-XX-XXXX, there is a $25 discount.

Helpful Hotties: A limited number of Helpful Hottie scholarships are available. This is a work scholarship that may involve moving equipment, sorting supplies, setting up the meeting room, doing laundry, etc. Hotties receive a credit of $150 towards this retreat.

These scholarships are awarded on a first-come, first-served basis. If you are interested, indicate this on the registration form and also send an email to (boardmemberhandlingregistration)@gmail.com to request a scholarship.

Your minimum deposit must be included with your registration to be eligible.  Multiple discounts are permitted.

How to Make Payments

After completing and submitting the registration form, a payment page will immediately pop up.

Before hitting submit at the end of this form, please take note of your amount due so you can complete the payment and registration process.

Check/Money Order: We take checks and money orders in US dollars. Mail them to ADDRESS, CITY, STATE, ZIP

PayPal: You can pay by PayPal, which will allow you to use a credit or debit card. Send the funds to thebodysacred4@gmail.com.

Enter the amount you are paying AND your name in the “Notes” box so we know who sent the money.

Zelle: You can use Zelle if your bank offers that option.

Send the funds to thebodysacred4@gmail.com. Type the address in carefully, because if you get it wrong, the money may go astray forever.

Note: If you can’t make the retreat after you have signed up, notify the registrar at XXXXXX@gmail.com. If you cancel on or before XX-XX-XXXX, we will refund all the fees you have paid minus a $25 administrative fee.

For cancellations received on XX-XX-XXXX or later, we will refund 25% of your total fee. Due to tax and accounting complications, TBS cannot apply unused funds towards a future retreat. 

Accessibility

Shalom Mountain Retreat Center is not easy for those with mobility issues. All rooms are on the 2nd, 3rd and 4th floors and there is no elevator. Please let us know if this will be an issue for you before registering by emailing XXXXXXXXX.

Please note that you are not registered until you have:

Submitted this registration form
Paid your deposit.
Note:
- If we don’t get your deposit payment within a week after receiving your registration form, we will put your application on hold. We cannot hold your spot without a deposit.
Been notified by email that you are registered
- Occasionally we have waiting lists, especially for rooms indoors
IMPORTANT NOTE: If we do not receive full payment by XX-XX-XXX, your spot will be offered to someone on the waiting list.

Please complete the registration form below.

Is this your first retreat?

Yes

No

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Gender Identity (female, male, trans, fluid or other)

Do you plan to stay indoors or are you tenting? (all rooms are double/multiple occupancy)

Name of indoor roommate (if known and applicable)

Diet Choice

Disabilities, special needs, additional dietary restrictions and food allergies.

Those with more restrictive diets are encouraged to bring food to supplement the meals.

My Registration Amount

Early Bird Discount?

Subtract $25 if paying in full now, before the deadline above.

Requesting Helpful Hottie or Diversity Scholarship?

Helpful Hottie: Subtract $150. You must email us per instructions above to request a scholarship. Diversity Scholarships are available for first time attendees only and must be approved.

If you are paying with a half or full comp, please subtract that amount here.

TOTAL DUE:

Today's Deposit:

Minimum $150. Reminder: Those claiming the Early Bird Discount must pay in FULL. You will be taken to a separate payment page via email after you submit this form.

Balance Remaining:

ALL FEES MUST BE PAID IN FULL and RECEIVED BY TBS ON OR BEFORE THE XX-XX-XXXX

IMPORTANT: Please make note of your balance due before submitting your form. You will need this information to make your payment(s) to complete registration. Thank you.

Additional Travel Information:

We may be able to connect people who are driving in from similar locations. If you can offer or need a ride, provide details.