Retreat Registration Form
Emergency Contact Number
Please provide someone who can be contacted during the weekend of the retreat in the event of an emergency.
Allergies and/or Food Concerns
17 and under
18 - 25
I am a
Do you have a car with which you could provide transportation?
What time will you be available to leave Hamilton on the Friday of the retreat?
How did you find out about the retreat?
Would you like to be added to the Open Circle weekly e-mail list?
(if you're not already on the list, of course)
When and where will you drop off your deposit?
Spots will not be reserved until a $50 non-refundable deposit is received. You can drop off your deposit to a Reflection Circle Facilitator, or make arrangements to drop off by contacting: firstname.lastname@example.org.