Leave blank if there is only one adult attending the retreat
If the "child" with autism is over 11 years old, you still need to register them here. Indicate the age of the camper below.
Use only if you have a 2nd child joining you
Use only if you have a 3rd child joining you
Use only if you have a 4th child joining you
This is the number we will use to conatct you if we have any questions
Use this section to specify your payment information.
Please indicate the amount that you are paying today. Indicate "0" if you are not submitting any payment today.
Use this section to let us know any other information that we might need (ie special dietary requests, mobility issues, etc...)