registration

Registration Form

Payment of the deposit or full fee indicates agreement to this document

Address

City

State

Country

Postal Code

Registration Choices

See Registration Website for Room Descriptions and Payment Details. Accommodation options are limited and allocated on a first come, first served basis. Please indicate your top three preferences below, in order of priority. We will do our best to accommodate your first choice whenever possible.

Selections acknowledge your agreement. Early Bird Discount requires payment in full by Jan 5, 2026. Full Price Registration requires payment in full by Feb 5, 2026.

Other Lodging Considerations

List the name of your room share partner IF known

Do you have any requests or considerations for the approximately 1/4 mile walk on rough dirt road to access the Temple Canyon Sanctuary? Are you able to sit on a blanket on the ground or would you bring a folding chair? (Provide details)

Medical & Health

List Medications

Other Medical or Health Issues or Disability/Mobility Concerns or special support needed for above conditions and medications (ex. refrigeration)

Dietary Requirements

Transportation

By completing and submitting this form to [email protected] you acknowledge that you have read and agree to follow the guidelines in the Participant Overview.

I have read and agree to the guidelines set forth in the Participant Overview. I agree to submit full payment or deposit within 48 hours of submitting this form. I understand and consent to the the information in this form being shared with the facilitator (Jayem) and organizing and facilitation committee. Beyond that it will be held in strict confidence.