One-Day Retreat – September 29th – Encinitas, CA


To register for the retreat click here

 

Date & Time: Saturday, 29 September 2012, 10:00 a.m. – 6:00 p.m.
Location: Seaside Center for Spiritual Living
Address: 1613 Lake Drive, Encinitas, CA 92691
Cost: Adult $150.00 (includes a vegan lunch)
Children's rates: Less than 3 years old: Free / Ages 3-11: $40.00 / Ages 12-15: $75.00

Immerse yourself in this spiritual Master’s wisdom, grace, love, and humor as you receive His personal guidance to move you into deeper levels of self-mastery.

 

To register for the retreat online, use the registration form below. 
To register by mail or fax, please download a printable form by clicking here.

Registration Form

As a condition of participation in the One-Day Retreat on 29 September 2012 ("Retreat"), you are required to complete this Registration Form (separate forms must be completed for each adult and each child attending) and mail it to the address below, along with the registration fee of $150.00 per adult ($75 of which constitutes the non-refundable deposit), or you can register online at www.LouixOC.org. Once registered, you will receive a welcome packet along with additional forms to complete, which will be e-mailed (or mailed) to you, including a Liability Waiver, Recording Release, and Medical Information Form, all of which must be completed as a condition of participation in the Retreat. There will be no refunds after 15 August 2012 for any reason. Refunds may take up to 45 days to be issued.

Legal First Name:   Last Name:  
Preferred Name:  
Address:  
City:   State:   Postal/Zip:  
Country:  
Phone:   Fax:   E-mail:  

Please provide your payment information below.

Please charge my credit card the following amount:   $
Card Holder First Name:   Last Name:  
Card Type:   Card Number:   CCV:  
Expiration:   /  

By submitting this form, I do hereby release Louix Dor Dempriey Foundation and all its assigns from all liability for any reason and/or circumstances whatsoever arising before, during, and/or after the Retreat as outlined in any advertising materials and any and all forms related to this Retreat. I also acknowledge that I understand the terms and conditions under which I am registering for this Retreat, this form is legally binding, and I am eighteen years of age or over*. My attendance at this Retreat is not guaranteed until this completed Registration Form, the Recording Release, Liability Waiver, Medical Information Form, and full payment are received by the Louix Dor Dempriey Foundation. I do hereby consent to having my name, voice, image, and likeness recorded and used for commercial purposes.

* Please complete below if participant is under the age of eighteen:   I am the Parent or Guardian of the minor named above and have the legal authority to execute this release on behalf of the abovementioned minor.

Legal Name of Parent/Guardian: 

For more information, please contact Samantha:
Phone: (888) 288-3735
E-mail: samantha@Louix.org

Important Disclaimer:  Event times, dates, and locations are subject to change. Please check this website often, or subscribe to our e-mail list, to be notified of these changes in a timely manner.

All proceeds support the Louix Dor Dempriey Foundation, a 501(c)(3) non-profit educational organization.

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