Name *
Name
Address
Address
Occupancy *
Medical Release *
A participant’s policy must cover any costs incurred. I understand that every precaution is taken to protect the safety of each participant. I agree to emergency treatment by a physician or hospital in the event that it is necessary and agree to release all personnel for any liability in connection with this activity. I do grant permission for transportation in case of an emergency. Typing your name will constitute your signature and agreement.
Photo Release *
I give permission for photos taken during the retreat to be used by Kindred for promotional purposes. Typing your name will constitute your signature and agreement.

Available retreat spots held on a first come-first serve basis. We do plan for a waiting list. Lodging occupancy requests (single/double) offered at first come/first served. If you need a single occupancy, please sign up quickly. 

More details upon confirmation of reservation. For reservation and payment please see (link to my retreat page on website). Refund of 1/2 rate will be given for emergency cancellation by October 10, 2015. After October 10, no refunds. We appreciate your understanding.