Under the Wild Sun Retreat

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1 Welcome

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

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Dietary *	Please choose the dietary option above that applies to you. Please select Omnivore if you have no restrictions.
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.
Birth Date
Gender	We ask for gender to support respectful room assignments, inclusivity, and comfort for all guests in our ally-centred environment.
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Email newsletter	Please send me the email newsletter
Age	25 & under 26-35 36-55 56-75 76+
Cancellation Policy *	I accept the terms and conditions.Please read the terms and conditions

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.

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