Registration for Our Stories, Ourselves

Please provide the following information as preliminary registration for the retreat. Thank you.

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Email Address

Primary Area of Interest:

Will you be coming alone or with another person(s)?

Alone

With 1 others

With 2 others

More than 2 others

Would you like assistance in arranging travel and lodging? Keep in mind that Kapoho is quite remote even from the nearest city, Hilo. You will want to rent a car.

Yes

Are you interested in having this retreat go towards eventual certification
as a CAS instructor/editor?

Yes

Do you have an special medical concerns? Please indicate how we may best assist you.

Would you like us to put you in touch with others who are interested in
sharing the expense of a rental house and car?

Yes

Do you have any questions that have not been answered in the retreat announcement on the web site?

Please give us the name and contact information for the person(s) you would like to have contacted in case of emergency.

Your registration will be complete when you have received instructions for sending your deposit and your $200 deposit has been received.

Please inform Tristine by email at tristine@storyhelp.com or by mail when you have made arrangements for your lodging giving her your address in Kapoho and your expected arrival date and time. Thanks!


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