Registration Page | South Bay Area MQG

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First name*

Last name*

Cell Phone*

Email*

Okay to share your email with other retreat participants?*

Yes

No

The following info is required by Happy Valley Conference Center-it will not be shared or published

Home Address*

Home Phone*

Birthday*

Month

Day

Year

This is my first SBAMQG retreat!

Dietary Restrictions*

No restrictions

Gluten Free

Non-dairy

Vegan

Vegetarian

Other-describe below

Is there anything else we should know?

Lodging Choice*

Single Room$525

Double (or Triple if you have 2 friends)$450

Non-SBAMQG member surcharge$25

Non-member registrations will be processed after September 1st and accepted on a space available basis.

For double/triple room, who are you rooming with?

Refunds: you must cancel by September 30th or find someone to fill your spot to receive a refund.

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