Program Information

* marks required fields

You are registering for:

Program:
Liberation Retreat: Wisdom of Acceptance - the Jewel of Santosha
Dates:
July 3-7

The prices below are the Total charges for lodging, meals, and use of facilities.
A tuition charge of $395 will be added.

Registrant Information

* First Name:
* Last Name:
Alternate Name: Defaults to First
* Gender Identity:




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 $395 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.

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?

Gift Card

  • Gift Card code for Payment:

Preferences

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How did you first hear about this program?

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Massage and other Bodywork

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

    Please note any dietary restrictions you have such as vegan, gluten free, allergies, etc:

    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.