Program Information

* marks required fields

You are registering for:

Program:: ONLINE ONLY Liberation Yoga Retreat
Dates:: June 29 - July 3

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

Tuition

Dear Friends,

This retreat is offered on a sliding scale for a minimum donation of $50. Please give what you can. Your generosity and support are both needed and greatly appreciated.

$50
$125
$250
Other:

Gift Card

Gift Card code for Payment:

Preferences

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

Important Notes

For cancellations up to the start date of the retreat you will receive a full refund. No refunds will be made after the retreat begins.