Program Information

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You are registering for:

Program:: Confluence 2023; The Creator's Art
Dates:: October 12-15

The prices below are the Total charges for lodging, meals, and use of facilities.

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.
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
		Ram Cottage #1 - 2 Bedrooms 1 full bath Single occupancy per room	815
		Ram Cottage #1 2 Bedrooms, 1 full bath Double occupancy per room	605
		Ram Cottage #2 - 3 bedrooms 1 full bath shared Single occupancy per room	665
		Ram Cottage #2 3 bedrooms, shared bath double occupancy per room	515
		Conference Center Only Single Occupancy, Private Bath	815
		Single Occupancy, Shared Bath	665
		Conference Center Only Double Occupancy, Private Bath	605
		Double Occupancy, Shared Bath	515
		Triple Occupancy, Shared Bath (Conference Center or Seminar House Only)	425
		Single Cabin, Shared Bath	581
		Double Cabin, Shared Bath	494
		Camp In Own Vehicle	284
		Camp In Own Tent	284
		Day Commuting	248

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.

Important Notes

This program is for adults only - please do not bring your children.
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.