Exit Fall Retreat Registration Question Title * 1. Name (First and Last) Question Title * 2. Email & Phone Question Title * 3. Are you Vegan? Yes No Question Title * 4. How long are you staying? The Full Retreat w/Meals ($145) Full Retreat No Meals ($90) Saturday w/Lunch ($15) Saturday No Meal (Free) Question Title * 5. Will you require a handicap accessible room? Question Title * 6. Male or Female? Male Female Question Title * 7. Will you be sharing a room with someone? (i.e spouse, parent, etc?). Question Title * 8. Did you receive a scholarship? If so, for how much? Question Title * 9. Did you pay via PayPal or will you be paying with cash/check on site? Question Title * 10. Would you like to donate to the retreat fund to help provide scholarships for those who need them? If so, how much? Done