Spiritual Renewal

Event and Workshop Registration

To register for workshops, activities and/or gatherings, please fill up form below, print and pay the required deposit or full workshop payment(s) to confirm attendance. Make check payable to: Rockhaven Ecozoic Center.


Today's Date:

Name:
Email Address:
Street Address:
City: State: Zip:
Phone: Phone (secondary contact number, ex: mobile):

Indicate program, workshop or activity/gathering for which you are registering.

Date:

Date:

Date:

Date:


Payment (to be sent in or submitted via check or paypal):
Total payment to be submitted
-All deposits are non-refundable. Full refunds will be issued if the workshop is cancelled due to low registration or inclement weather.
Comment:
Accomodations Required Number of nights: ($50/night includes breakfast)
Please include your payment amount)

To Report problems with this form, contact rockhaven@rockhavencenter.org


Rockhaven Ecozoic Center is a non-smoking space. Pets are not allowed in any of the buildings. Handicap accessible rooms are limited. Please check in advance for availability.

You can also print form and mail in with a deposit or full payment to :

Program Registration
Rockhaven Ecozoic Center
7621 Rivermont Trail,
House Springs, MO 63051

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