Program Information

* marks required fields

You are registering for:

Program:: Healing the Healers
Dates:: July 14-16
Presenter:: Melissa Lucey

The prices below are the Total charges for lodging, meals, and use of facilities.
A tuition charge of $200 will be added.

Spouses, significant others, and families are welcome! To register a spouse/partner and/or children, in the box "Additional Requests" near the bottom of this page, please include the full names of spouse/partner and any other family members, as well as the ages of any children accompanying you. If you need an early arrival or late departure, or are coming with a party larger than three and require more than one room, please specify in that section as well. We will manually register additional party members and you will receive a confirmation email with an added balance due that accurately reflects these additions.

IMPORTANT: Please do NOT fill out the "sharing with" field nor do you need to register the other members of your party separately.

When you choose your accommodations, please select as your first choice the option that best suits accommodating your full party (e.g. if coming with just your spouse/partner select one of the Double occupancy options, if also coming with a child or any party of three select the Triple option).

Registrant Information

* First Name:
* Last Name:
Alternate Name:	Defaults to First
* Gender Identity:	Woman Man Transgender Non-binary/non-conforming Prefer not to respond How does my choice affect my housing?
Pronouns:	Why pronouns matter
* Street 1:
Street 2:
* City:
* State/Province:
* Zip/Postal Code:
Country:	Defaults to USA
* Telephone:
* Email:
* Email Again:	Repeated to be sure it is right
Car License:	If you are driving to MMC.

Housing Choice

* Indicate your first and second choices for housing.
We will do our best to honor your choices. If neither is available, we will assign the next best option, and waitlist you.
Prices are the Total charge including lodging, meals, and use of facilities.
A tuition charge of $200 will be added.
Camp sites are walk-in style with parking nearby.
If you have a physical disability that limits where you can be housed, please note this in “Additional Requests” below.
All individuals must be registered separately.

1st	2nd	Housing Type	Cost
		Conference Center Only Single Occupancy, Private Bath	536
		Single Occupancy, Shared Bath	430
		Conference Center Only Double Occupancy, Private Bath	388
		Double Occupancy, Shared Bath	326
		Triple Occupancy, Shared Bath (Conference Center or Seminar House Only)	262
		Single Cabin, Shared Bath	372
		Double Cabin, Shared Bath	310
		Camp In Own Vehicle	164
		Camp In Own Tent	164
		Day Commuting	138

If you are sharing your housing with someone, put their name here:

First:

Make sure that they register separately.

Last:

If given a choice, would you prefer a cabin or a room?

Cabin - heat and electricity, but no indoor plumbing

Room

What's the difference?

Gift Card

Gift Card code for Payment:

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Donation

As we work to recover from Covid closures and related expenditures, we invite you to consider making a donation to Mount Madonna Center. Your gift will support stewardship of this vibrant learning community, inspirational environment, and sacred land. Mount Madonna Center is a 501(c)(3) charitable organization. EIN #51-0174679.

Amount:

Dietary Restrictions

Meal Information

Additional Requests

Include the following in your additional requests:

Arrival and/or departure dates if they differ from your program's.
The ages and names of children you are bringing, if any. Children 4 years and under are welcome free of charge; for 5-12 years old, fees are discounted 50%. Please register children 13 years and older separately as an adult.

Important Notes

Cancellations made at least 2 weeks before your reservation date are fully refundable. Cancellations made 2 weeks to 48 hours prior to arrival date will be charged a $50 processing fee and the remaining payment will be held as a credit toward a future personal retreat or program. There are no refunds for cancellations made less than 48 hours prior to your reservation date.
This form does not automatically reserve your spot for the program. If the program is full, your deposit will be refunded.
Housing is not always available. Do not finalize your travel plans until you have received a housing confirmation from Mount Madonna Center.
We will be sending you a confirmation email. Don't let it end up in your spam folder. Add the following addresses to your list of acceptable emails: programs@mountmadonna.org.