Sacred Within Morocco

Retreat Registration

Register for Scared Within Morocco Retreat in 3 Easy Steps!
Registration will take about 10 minutes. 

 
 

Step 1: The Registration Form

To begin, please fill out the registration form below and click the SUBMIT AND CONTINUE button.
Note that all fields with "*" must filled for the form to be submitted. If you have any problems submitting the form or have any questions, contact me.

 

Registration Form

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
(The country code for the United States is 1)
Name of Emergency Contact *
Name of Emergency Contact
Phone of Emergency Contact *
Phone of Emergency Contact
(The country code for the United States is +1)
Are you a vegetarian? *
Do you have any health or mobility issues? *
What are your primary interests for coming to Morocco? *
What are your primary interests for coming to Morocco?
(Strongly Disagree means you are not interested at all and Strongly Agree means that you are extremely interested.)
Shopping
Art Making
Adventure/Activities
Leave blank if there is no other interests other than listed above.
Is this a primary interest?
Is this a primary interest?
(Strongly Disagree means you are not interested at all and Strongly Agree means that you are extremely interested.)
Other Interest
Do you have any interest in the following activities? *
If yes, please describe below.