Gaia's Womb - Registration Form

Registration Form

Gaia's Womb Presents
"The Healing Tree"
June 6th, 7th and 8th, 2008
Conference Point Center, Williams Bay, WI

Please Print Clearly.

Name:

Address:

City, State, Zip:

Phone Day/Evening:

E-mail:

Enclosed is my check for: $___________
I am enclosing an additional $___________ to be contributed to the Scholarship Fund.

Meals:

Please circle one: Vegetarian / Non-Vegetarian

* All meals are included. Vegetarian selections are limited. If you have special dietary concerns there are microwaves and refrigerators available. Please bring your own food. We regret that we cannot make a price adjustment for this.

Pricing Structure: Conference Point Center is located on the shores of Geneva Lake in Williams Bay, Wisconsin. Directions will be provided upon receipt of registration.

$295.00 per bed, for double room, registrations received prior to May10th, 2008. $325.00 per bed for registrations received after May 10th, 2008 $400.00 for Private rooms (limited number - bathroom still shared) The price includes programs, meals, and accommodations.. All bathrooms are shared. No refunds.
Is this your first Gaia's Womb event? If this is your first Gaia's Womb event, how did you hear of us?
Mail completed registration form to: Gaia's Womb c/o Angie Buchanan 2700 Wildwood Lane Bannockburn, IL 60015 Please make checks payable to: Gaia's Womb For further information contact Angie Buchanan at telephone: (847) 405-0208 email: angie@gaiaswomb.com