registration

please print this page, complete the form and mail it in to:

Anchoring in Stillness Retreat
3510 Frederick Place
Kensington, MD 20895

To hold your spot, please send a $150.00 non-refundable deposit.
(Check or money order payable to: Anchoring in Stillness)

Name: ________________________________

Address: ______________________________

             ______________________________

             ______________________________

Home phone: _________________________

Work phone: __________________________Fax: ___________________

E-mail: _______________________________

Check Housing options:

Housing option A, hilltop rooms or trailer (sleeps 1 to 2). $600.00 per person
      (Near daytime activities and flushing toilets, includes linens and towels)

Housing option B, log cabin dorms (sleeps 8 to 12). $330.00 per person
      (Near woods, ponds and outhouses, has fireplace)  

Retreat Dates: Sat. July 26- Sat. August 02, 2008

Housing A or B

Tuition (This price includes all meals)

$________

$690.00

Gavilan Ranch transportation (option)
to and from Albuquerque airport
$85.00
Total: $________

Amount enclosed:

Balance:

$________

$________

(balance due by July 1, 2008)
8830 Cameron Street Suite 501 • Silver Spring • MD 20910 • 301-565-2700 • AHSAdams@gmail.com