CULTIVATING JOY WOMEN'S RETREAT REGISTRATION

 FIRST NAME                         LAST NAME
         
 ADDRESS                                    CITY                   STATE       ZIP CODE
        
 PHONE NUMBER                        EMAIL
                   
 PLEASE NOTE ANY DIETARY OR PHYSICAL NEEDS:
 

Workshops: Please select 1st and 2nd choices for both the morning and afternoon sessions:
Morning -
Contemplative Prayer
A Journey into Journaling
Natural Remedies
Cultivating Joy in Flowers (there will be a $5 charge collected at the workshop)
Grow Where You Are Planted
Canoeing
Meditation around the Pond
Free Time

Afternoon -
Tai Chi, Relaxation and Breathing
A Journey into Journaling
Natural Remedies
Cultivating Joy in Flowers (there will be a $5 charge collected at the workshop)
Grow Where You Are Planted
Canoeing
Meditation around the Pond
Free Time

Song Requests:


CASH, CHECKS, AND ALL MAJOR CREDIT CARDS ACCEPTED AT TIME OF REGISTRATION.
(please make checks payable to Canterbury Retreat Center)
  $126.00 - DOUBLE OCCUPANCY RATE PER PERSON
                  ROOMMATE 
  $156.00 - SINGLE OCCUPANCY RATE (BASED ON AVAILABILITY)
Are you able to climb steps? yes no
Local Church Name