Thank you for choosing to attend a seminar/workshop at the Center of Consciousness. We appreciate your business and look forward to establishing a great relationship with you.

Please fill out the form below and click the Submit Registration button. We will contact you shortly with your confirmation.

First name*:
Last name:
Phone*:
Cell phone:
Fax:
E-mail:
Street:
City:
State:
Zip:
Emergency contact:
Emergency number:
Event Information
Event name*:
Dates attending*:
Number of evenings staying (at $25.00 per night):
* required fields

Thank you for choosing the Center of Consciousness for your retreat/workshop. We appreciate your business and look forward to establishing a great relationship with your organization. Please complete the following information and click the Submit Reservation button at the bottom of the page.

We will contact you within 7 business days with an estimate based on the information listed below. A non-refundable 50% deposit is due at least 30 days prior to the event to secure the retreat center.

Company/Organization*:
Contact Name*:
Title:
Phone*:
Cell phone:
Fax:
E-mail:
Street:
City:
State:
Zip:
Emergency contact:
Emergency number:
Web site:
Event Information
Event name*:
Dates required:
Number of attendees:	1st night:
	2nd night:
	3rd night:
Additional evenings?
Event description (briefly tell us who this event serves, types of activities) and time requested:
Is this event open to the public?	Yes No
May we advertise this event on our Web site/e-mail posts?	Yes No
* required fields