Thursday-Sunday July 20-23

Please complete one registration form for each person attending.

After you register, you will get a phone call just to touch base on your registration, and later on a confirmation letter with more information about the retreat and fee payment

If you have any questions, please feel free to contact Michael at:
retreat.shadowcliff@gmail.com
or 303.7777.208

Thank you!

NAME

E-MAIL & PHONE

ADDRESS

EMERGENCY CONTACT INFORMATION
This cannot be someone attending the retreat with you.
Note: The contact should be available by phone the weekend of the retreat
(please do not list Monday-Friday work phones).

CARPOOL
We organize a carpool for individuals without transportation. We meet at 10am near Broadway & Alameda on Thursday morning. The trip is 100 miles and takes 2 hours.
We ask that riders offer gas money to their driver ($6-8).
We encourage everyone to participate in the carpool. This not only assists those without cars, but also has less impact on the environment, and parking space is limited at the lodge.

  Yes No Maybe
I need a ride
I can provide transportation
I can provide if really needed

DIETARY NEEDS

RETREAT FEE
  • Lodging, meals, and retreat activities cost $260/person.
  • All HIV+ persons can request an optional $65 scholarship (fee reduction).
  • Individuals on disability or low income (Colorado residents who qualify for ADAP and Ryan White services) can apply for additional financial assistance up to $115 (reducing the fee to as low as $80). WY & NM residents may also be eligible. Residents from other states can contact us if there are special circumstances.
  • The fee is all inclusive and covers 3 days lodging & meals, body therapies, and all activities.
  • A five dollar gratuity to lodge staff will be added to the fee, and carpool riders are asked to contribute gas money to drivers ($6-8).
I understand the fee structure:

Please email me a Financial Assistance Application:

Briefly please state why you would like to attend the retreat (a few sentences is fine):

Have you attended the retreat in the last 10 years (2007 or later)?

If yes, how many times?

To the best of your knowledge, which years did you attend (best guess if you can't remember):

AGREEMENT/UNDERSTANDING

I understand and agree to abide by the ground rules of no smoking on the property, no alcohol, marijuana (smoked or edible), or illegal drugs (on or off property, including bars in town), and no inappropriate behavior.
verified by my signature below

I acknowledge that this is an organized HIV retreat and that I intend to participate in retreat activities including workshops, forums, meals, and other group activities.
verified by my signature below

Entering my name and date below constitutes my signature


When you have completed this form, please check it for accuracy.
Then click "Submit Registration" button below.

Thank you for registering online.

Looking forward to the retreat!

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