Print and Fax to: 734-629-0464 or copy and paste into e-mail to: judy@amiracletoday.com

 

  Registration:     ‘Energy Medicine A Fall Retreat’   September 19, 20. & 21st, 2008

Come and spend the weekend and experience this unique workshop.  Come learn new skills to cope with life better and bring yourself to your personal best in health, body, mind and soul.  EFT will give you tools to cure your phobias and help bring peace to your life now. Learn to increase your energy level, think clearer, open up your body’s ability to heal itself.   We will give you the tools to start feeling better now.  Come join us for this unbelievable weekend with Meridian Yoga to open the healing channels in your body, Beginning Mantra Meditation, Laughter 101, Drumming, walking meditation on wooded labyrinth, hiking, lakeside bonfire and more.

 

Name ____________________________________________

 

Address___________________________________________

 

City _________State _____Zip ________

 

E-Mail Address______________________________________

 

Phone Numbers:  Cell_________________ Alternate_______________________

Emergency Name: ______________________Number: ______________________

I can offer a ride to camp   Yes            No

Mobility considerations: _____________________________

Visual considerations: ______________________________

 

Note: Contact me concerning your specific needs before August 15th, if we are unable to meet your requirements

and you choose not to attend, your fee will be returned.

 

Each participant will need to provide her own bedding, pillow, towel, etc.

There will be bunkhouse type accommodations 14 bunk beds in 4 rooms

Sleeping 28 women with shared bathhouse and showers.

 

$275.00 Total Save $50.00 and   Pay in full by August 15th $225.00

Friday 6pm September 19th to Sunday September 21st 1pm. 

This includes all meals, all workshops and bunkhouse accommodations.

 

Both   Vegetarian  and   Non-Vegetarian  meals available.  Circle one please

 

$175.00 Total for Saturday only Total by August 15th 2008  $150.00

 

Deposit: You may reserve your space now by making a non-refundable $50.00;

With balance due by August 30, 2008   

 

Payment Type:  Cash____ Check ____ Pay Pal - Use Buttons below to use your Credit Card

Early Bird - $ 225 Pay in Full by August 15th

Reservation: $ 50 (Early Bird must be paid in full by August 15th

Full Payment - After August 15th $ 275.00

 

Saturday Only - Early - Pay In Full - $ 150.00

 

 

 

There will be partial scholarships and working scholarships available

Attach a letter to this form for consideration..

10% of all profits will be donated to the Lighthouse Center Inc. of Whitmore Lake, MI

 

Organizer:

           Judith Fox Shepard judy@AmiracleToday.com 810-599-8855

                                         Fax form to: 734-629-0464 or

                               Mail payment to:  3448 Legion Drive…Brighton, MI 48114