Seeking Stillness
____  9/29-10/1/17  Fall Retreat at Our Lady of The Pines      $175
             Partial Scholarships are available
Please note:  Deadline for Fall Registration is 9/13/2017.

Cell Phone:_____________________Home phone:______________________
Email: ________________________________________________________
Emergency Contact name & phone: ____________________________________
How did you hear about Seeking Stillness________________________________
What would you like to see happen over the course of the retreat?  ______________
Massage?    ______1/2 hour ($42)       _____1 hour ($61)
(Massage prices are payable directly to the massage therapist at The Pines and
do not include gratuity)

Please list any special dietary needs or food allergies________________________

Please make check payable to:  Seeking Stillness Ministries.
Mail check and completed registration form to:
Deb Griest    626 Revere Dr. , Bay Village, OH 44140  |  440-871-8764

Cancellation Policy: no refunds will be given if cancellation is within 16 days of start date of retreat. 

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___By checking here you have read and understand what we believe