ELDERSOUL 2021 APPLICATION
THANKS FOR REGISTERING. PLEASE FILL OUT THE FORM BELOW
(easiest to cut and paste the following into another doc)
June17-20, 2021 ElderCouncil Weekend at Rocky Mountain Eco-Dharma Retreat Center
Your Name______________________________________________________________________________________
Address____________________________________________________________________________________
Email______________________________________________________
Preferred phone______________________________________________
THANK YOU FOR TAKING TIME TO TELL US A LITTLE MORE ABOUT YOURSELF
please write a few paragraphs with these questions in mind:
Why do you want to attend this program? How have you been led to apply to this nature-based retreat?
What is your relationship to soulfully growing older?
Can you give us a brief history of the way your soul has guided you through major transitions in your life?
Is there anything else important that would be helpful to know about you?
Any food allergies/requirements
Would you prefer an indoor private room or to camp in solitude outdoors?
*We’ll get back to you with a final acceptance and more information about deposit payment and securing your place after we receive your registration.
COST – pay by Venmo (ckortsch@gmail.com) or by check to Carol Kortsch,1680 Yellow Pine, Boulder CO 80304
Sliding scale $375 - $625 (if you can pay full amount it ensures others can come at scholarship level)
Questions or further information, please contact: Carol at ckortsch@gmail.com or call 610 304-0547
IMPORTANT - for your full participation in this retreat, the retreat center has made a requirement for a Covid vaccination to use the lodge space