Registration for September 2025 Silent Retreat

Name

First

Last

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

If international, select any state but fill in your correct information below.

My international address (if applicable)

Phone number

How did you hear about this Retreat?

Please explain. Thank you!

What to expect on a Silent Retreat

Please indicate that you have read the What to Expect article linked above.

Yes, I have read “What to Expect” article.

My accommodation choice is:

No Accommodation – Remore Attendance Online ($725)
Double occupancy with shared bath ($1650)
Single occupancy with bath ($2150)

If Double Occupancy, please select one:

I would like to be assigned a roommate
I already have a roommate

Name of my roommate

For rooming assignment purposes, do you identify as

Male
Female

If you are not traveling with someone you would like to share a room with, we will pair you with another solo traveler. If no one is available, single occupancy supplement will apply.

$200 non-refundable deposit due at time of registration

Balance due ASAP after that.

I plan to pay the $200.00 deposit by:

Check
Venmo
Zelle
Credit Card/PayPal – includes 3% fee

Your non-refundable deposit of $200 is due immediately following registration.

I understand that my space is not reserved until Kate Mitcheom receives my check at the address listed below.

Please make your $200.00 check payable to Kate Mitcheom and mail to:

Kate Mitcheom
17 Haycock Point Road
East Branford, CT 06405

Your deposit of $200 via Venmo is due immediately following registration.

I understand that my space is not reserved until Kate Mitcheom receives my Venmo payment.

Venmo = @Kate-mitcheom

Your deposit of $200 via Zelle is due immediately following registration.

I understand that my space is not reserved until Kate Mitcheom receives my Venmo payment.

Zelle deposit info will be included in the email you will receive after you submit this form

You have chosen to pay now by credit card.

Price: $206.00

Includes 3% fee.

Chose PayPal or Credit Card here

PayPal Commerce payments are disabled. Please set up a connection with PayPal in your form’s settings.

Balance of Retreat reminder

I understand my balance is due ASAP after registration.

Kindly note that NO REFUNDS will be made.
We recommend you consider buying travel protection insurance. Learn more

Questions or comments? Please share below.

Please join us!

Kate