Lotus Blossom Retreat 2019

ALHAMDULILLAH!

Registration for the

2019 Lotus Blossom Retreat is FULL!

To get your name on the waiting list, you must do the following:

1) Complete the registration form below

2) Pay the fees in the final step

* Fees are 100% reimbursable if a spot does not open up.

PLEASE NOTE:

- Your registration is incomplete until you make the fee payment by Paypal or credit card. Please have your information ready as the form cannot be saved and retrieved at a later date.

- Camp Connect (for youth) will not be offered this year as part of the Lotus Blossom Retreat.

Youth, 13-17, will be expected to attend regular programming.

First Name *

Last Name *

City *

Province *

Age Category *

18 +

Male or Female *

Male

Female

Age *

Phone Number *

Email Address *

Name of Emergency Contact *

Phone number of Emergency Contact *

Relation to Emergency Contact *

Please indicate any health issues, allergies, dietary restrictions that you have, as well as any special accommodations you may need.

Will you be accompanied by your spouse? *

Yes

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