Silent Retreat @ Rock 'N Refuge

Silent Retreat @ Rock 'N Refuge

Silence. Solitude. Stillness.
Guest Information
Name

First NameLast Name
Birthdate

MonthDayYear
Date
Email
example@example.com
Cell Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Information
Emergency Contact's Name

First NameLast Name
Phone Number
Have you attended a retreat before?
If yes, what type of retreat?
Gender

MaleFemaleOther
Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, vegan etc…)
What inspired you to come to this retreat?
Rooms and Beds Available
prevnext( X )
king bedprivate room, shared bathroom
$200.00



king bedprivate room, shared bathroom
$200.00



queen bedprivate bedroom, shared bathroom
$180.00 Quantity



twin bedshared loft space
$130.00 Quantity



twin bedshared loft space
$130.00 Quantity



full bedprivate room, shared bathroom
$170.00 Quantity



Total

$0.00
Payment Methods

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