View the current retreat announcement for this retreat.

Note: This CSS practitioner retreat is by invitation only and is not open to the public. If you are interested in attending a CSS retreat, please consider joining CSS and becoming one of our member practitioners.

To register, 1) complete this form and click SUBMIT at the bottom, 2) print your email confirmation receipt, and 3) mail it to us with your payment. Your registration is not complete until you mail your payment together with a printed copy of the email acknowledgement.

Retreat Description	5-day CSS Spring Retreat 2012 Friday April 20 - Wednesday April 25 All fees must be paid in full by deadline of Wed. April 11 Early-bird discount for full payment before Wed. March 28 $375 - early-bird fee for entire retreat $400 - fee for entire retreat, due before deadline Partial retreat fee: $80/day, no early-bird discount Non-refundable deposit of $50 must be paid to register.	Do not edit this information
Attendance *	I will attend the entire retreatI will attend only a portion of the retreat	First priority for space at this retreat is given to people registering for the entire retreat.
Partial Retreat Details		If you are attending only a portion of the retreat, indicate 1) the number of nights you will be at the retreat, 2) the day and time you plan to arrive, and 3) the day and time you plan to depart.
Payment Description *	Full payment for entire retreat - early bird discountFull payment for entire retreat - no discountFull payment for partial retreatNon-refundable deposit only	Select the type of payment you will be mailing to us at this time. (If you are requesting a schoarship, 'full payment' means the full amount after scholarship adjustment.)
Payment Amount *		Please indicate here the amount of the check you will be mailing to complete your retreat registration (taking into account any scholarship amount below). Note: The deposit is non-refundable, and any additional amount paid will be refunded only if requested before the payment deadline date for this retreat. No refunds will be given after the payment deadline, except at the sole discretion of the CSS Board upon review of your written request explaining your special circumstances.
Scholarship	I am including a donation to the Retreat Scholarship FundI need a full retreat scholarshipI need a partial retreat scholarship
Amount		If you are making a donation to the Retreat Scholarship Fund, indicate the amount of your donation that you are including with your payment as entered above. If you are requesting a partial scholarship for this retreat, please indicate the amount that you can afford to pay for this retreat.
Email *		Your email address, so we can email you an acknowledgment of this registration information
Phone		Telephone number, in case we need to contact you about your registration
Name *		Please provide your full name
Street Address
City, State, Zip
Dietary Restriction	No DairyNo WheatVegan	Please indicate if you have any dietary restrictions
Health Issues		This retreat will take place in a rural area, and there are no physicians or health care professionals on staff. Please describe any health or medical issues that we should know about
Health Care Provider		Please provide the name and phone number of a health care provider you would like us to contact in case of a health emergency during the retreat.
Emergency Contact		Please provide us with the name and phone number of a spouse, close friend, or family member whom we should contact in case of an emergency during the retreat
Transportation		Please indicate if you need a ride, if you have a ride, or if you can offer a ride to someone else
Comments		Please indicate if you have any special needs or requests, or any concerns or questions you have for the retreat coordinator
*		Type the four black letters only (not the light grey letters)

After you click SUBMIT, an acknowledgement email will be sent to you with your registration information. To complete your registration, you will need to print the acknowledgement email and send it to us with your payment.