Solo Retreat August 2026

* These fields are required

1 Welcome

2 Price

3 People in your group

Guest 1		First Name* Last Name* Email* Do you have any severe food allergies?* No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.)
Guest 1		First Name* Last Name* Email* Do you have any severe food allergies?* No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.)

After completing this form, emails will be sent to everyone in your group to complete their information.

Continue

4 Participant Info

Phone *
Mobile
Address
Address 2
City
State/Prov.
Zip/Postal
Country
Emergency Contact Info	Please provide a name and phone number
Will you be in silence during your stay? *	No Yes If you plan to be in silence at any time during your stay, please specify the dates below.
Starting on which day do you plan to be in silence?
What time will you be checking in? *	Please note our check-in time is from 3:00 - 4:00 PM and dinner starts at 5:30
Dietary *	Please choose the dietary option above that applies to you. Please select Omnivore if you have no restrictions.
Do you have any severe food allergies? *	No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.)
If yes, please specify below	Please specify your severe food allergies. If you have very particular dietary needs we suggest you bring supplementary food to support your experience. Feel free to contact guest services to discuss: guestservices@bethlehemcentre.com
Are you a member in good standing?	Yes I am not a member I am interested in becoming a member Please let us know if you are a Member at Bethlehem Centre
Member #	please provide your member number
Do you require wheelchair accessible accommodations?	This could include other mobility aids (i.e. walker, shower chair).
Do you need ground floor accommodation? *
Program Comments or Special Needs	Please describe any special needs you have such as: Certified support animal(s), mobility needs, CPAP machine hookup, etc.
Cancellation Policy *	I accept the terms and conditions.Please read the terms and conditions
Email newsletter	Please send me the email newsletter

Continue

5 Donate

CAD $	Support Bethlehem today Bethlehem is a charitable organization that relies on the generosity of donors like you to continue to welcome individuals exploring spirituality and seeking a non-judgmental sacred place for contemplation, learning, and community.

6 Payment

Discount code

Sub Total	$0

Donations	$0

Taxes	$0

25% Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

Choose Payment Option

	Your registration will be complete once we receive your payment. Click on the button below and these instructions will be repeated on the next page.

	You will be asked for payment details in the next step. Click the button below to continue.

1 Welcome

2 Price

Select an option*

Standard Room (with a shared washrooms)

3 People in your group

4 Participant Info

5 Donate

6 Payment