Registration Form - Kimberly June Miller

Annual Leading Wholeheartedly Women’s Retreat Boundaries for Your Soul

Complete Your Inquiry Below

Please compete this form and Retreat Director, Crystal Benyo, will be in touch with you soon.

Asterisk indicates a required field.
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organizational affiliation and title?
Tell us a little about yourself.*
What are you interested in learning, gaining, finding, or trying at this retreat?*
Dietary Restrictions:*
Would you like to reserve one of our rooms at the Doubletree Hotel?*
Registration Fee

There is $100 registration fee for all attendees.

Please make checks payable to:
NVCF/Leading Wholeheartedly
(Memo: “LWH Retreat”)

and mail to:

Crystal Benyo
9663 Nacimiento Lake Dr.
Paso Robles, CA 93446

818-422-9133 (cell)