Sacred Journey’s of the Heart
Mountain
Retreat
Official Registration Form
Name:_______________________________
Address:________________________________
Phone: (____)
____________________________
Email:_____________________________________
Please include ,
Instructions can be sent email.
Reserve Space Date_____________________________
Ceremonies:
Sweat Lodge____________
Sacred Fire_________Sacred Water_____
Ancestral
Tour____________
Donation 125.00 two
day package includes camp lodging
Ancestral Tour 50.00 extra day., Hotel lodging
can be arrange upon request
100.00 deposit with
registration.
Reservation Due
Date:__________________________
Cancellation non
refundable 10 days before retreat date. All monies must be paid in full before
attending retreat for more info call 1-877-571-9788 or intake@blackamericanhandbook.com
Mail registration
with deposit to:
Sacred Journey’s
P.O Box 3194
Cullowhee, N.C 28723
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