retreat registration form

clean up hepburn regional park

Please complete and submit the registration form below.

Name *
Phone Number
Email Address *
How did you find us? *	Google search (please not search term below) Other web search Word of mouth Referral from another site Other (Please note below)

I am also interested in attending	Afternoon Yoga - 4.30pm (by Donation) Community Kirtan - 6.00pm (Free) Vegan Banquet - 7.00pm ($30 for 3 Courses)
If you would like to book a room for the night, please visit the Accommodation Bookings page on our website.

Please type the code shown in the image: *