sign up for the

September 2024 reignite retreat

Fill out your info below, submit your payment, and you’re well on your way to a magical retreat experience!

Participant Information
First Name

Last Name

Address
Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone
(###)

###

####

Other Information
Which room type are you interested in?

Single-occupancy room

Double-occupancy room (provide roommate name below)

If you selected "Double-occupancy" above, what is the name of your roommate?

Do you have any dietary restrictions or food allergies that we need to know about for the food that will be provided?

Are you at least 21 years of age?
Yes, I am 21 or older and I drink alcohol.

Yes, I am 21 or older, but I do NOT drink alcohol.

No, I am NOT 21 or older

Any other info you'd like to share about yourself or what you hope to get from the retreat?

Emergency Contact Information
Just in case! We won't contact them unless absolutely necessary.

First Name

Last Name

Emergency Contact Phone
(###)

###

####

Terms & Conditions
View the terms and conditions here.

Yes, I accept the terms and conditions.

Thank you for submitting your information to sign-up for the September 2024 REIGNITE Retreat at the Brown County Barn Burner!
To complete your payment and finish securing your spot:
Single-occupancy Room:PAY NOW
Double-occupancy Room:PAY NOW
**If you are interested in a payment plan, please contact me for a separate link.
I can’t wait to host you in September! I will follow up with a confirmation and additional information separately.
If you have any questions you are always welcome to contact me at kara@bcbarnburner.com.

Once you complete all information and click “Submit,” you’ll be provided with secure links to complete your payment.

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