OFFICIAL Registration

Please complete the following form to OFFICIALLY register for our upcoming Birth-worker seminar/retreat in Costa Rica.

Your NON-refundable registration fee is due at this time to hold your space. The remaining portion of the fee is due by January 10, 2019.


Please complete and submit the form below before you pay via paypal

Name *
I understand my registration fee of $220 is NON-refundable if I cancel my reserved space for the retreat. *
each person needs to offer up a talking point, if many of the same are chosen, we may ask for some of you to expand on a different subject.
I agree to pay the remaining portion of my fee NO LATER than JANUARY 10, 2019 if I do not pay in full at this time. *
I understand I must cancel by December 1, 2018 if I cannot attend the retreat in order for my space to be offered to another birthworker. *

The following Link will take you to PayPal to pay your registration fee due at this time.