Name * First Name Last Name Date of Birth * Home Address * Email * Phone * (###) ### #### Rooming With A Friend? This retreat will solely serve nourishing plant based meals prepared by The Dreaming House. Are you open to this? * Dietary Restrictions - If you have any health concerns with our menu, would you like Aryana, our nutrition expert to reach out to you? * We will be doing a lot of walking on this retreat. Do you feel comfortable ? * Tell us more about you! * Do you have any medical conditions we should be aware of? * Emergency Contact * Name, relationship & phone number How Did You Hear About Us? * You are being redirected to check out where you will need to pick your room type and submit your $600 deposit in order to complete your registration. Once registered Ali will be in touch to discuss the retreat and payment plan options.Thank you! REGISTRATION