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Guest House
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Retreat & Conference Center
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318 West Main Street
Chester, Connecticut 06412
(860) 322-5770
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For a .doc file of this registration form, click here.
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Soul Without Shame
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Exploring the Nature of Self Judgment
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With Byron Brown
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Name: ____________________________________________________
Address: __________________________________________________
Email:____________________________ Tel:_____________________
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Room rates include tuition, accommodations, and all meals during the retreat. Payment in full by either check or credit card must accompany this registration form in order to reserve a space. Full refunds are available up to 1 month before the start date of the workshop. Between 1 month and 14 days before the start of the retreat, cancellations will receive a full refund less a $50 cancellation fee. Between 7 and 14 days before the start of the training, 50% of your payment is refundable. Seven days or fewer before the start of the training, payments are not refundable for any reason. Discounts are not available for partial attendance. With questions, please call (860) 322-5770 or email: Michael@GuestHouseCenter.org
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Meal Preference. Please choose only one:
o Vegan o Vegetarian o Fish, no meat o Chicken & Fish, no meat o All entrees — Meat and fishAny serious food allergies we need to know about?
If so, describe below:
With questions, please contact Michael@GuestHouseCenter.org
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Please indicate room preference:
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o Single rooms are no longer available for this retreat
o Double room: $633 per person
Roommate’s name _______________________________________
Would you like us to assign you a roommate? o Yes o Noo Triple room: $541 per person
Roommates’ name _______________________________________
Would you like us to assign you roommates? o Yes o Noo Commuter rate: $513 per person (3 meals per day included, but no room)
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Credit Card Payment
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Credit Card Number:_________________________________________
Expiration date:______________________CCV Number:____________
Billing address zip code:______________________________________
Total:______________________________
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Space is very limited, so please register early.
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Mail this form and a check payable to Guest House to:
Registration: Soul Without Shame
Guest House Retreat and Conference Center
318 West Main Street, Chester, CT 06412Or Fax this form to (860) 322-5744
Or Call (860) 322-5770 extension 157
Or E-mail Michael@GuestHouseCenter.org