Retreat Registration Form

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Please tell us which retreat you would like to register for:

Please indicate which rate you will be paying:

For Taos retreats, please see the different rates below. For LA retreats, the flat rate is $950.

On our retreats, we serve organic vegetarian food, cooked with love by chef Dillon. Please let us know of any dietary restrictions you have:

If there is anything you'd like to share about your internal process, or other healing or spiritual work you've done, please do so here:

Please let us know about any health issues or physical accommodations you need:

How did you hear about us?

Is there anything else you'd like us to know?

Please indicate here if you would NOT like to be on our mailing list

how to hold your spot

Upon registration, please send a nonrefundable deposit of $200 (unless you are a Scholarship Recipient, in which case we will review your application and get back to you). You can send your deposit via Venmo @antara-retreat or you can make out a check to Contemplative Leadership Development and mail it to: 417 La Lomita Road, Taos, NM 87571.

If you would like to pay the full tuition up front, feel free to do so.

We ask that you pay your full tuition no later than one week before the retreat. If you sign up for a retreat less than one month before the date, please pay the full tuition up front. Thank you.