EmailMe Form - Grace Cirocco Registration Sacred Sedona

Select a Date *

Full Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone *

### - ### - ####

Work Phone

### - ### - ####

Cell Phone

### - ### - ####

Primary Email *

Secondary Email

How did you hear about this workshop?

Occupancy *

Double Occupancy

Single Occupancy

Please Note: Single rooms are not guaranteed but every effort will be made to accommodate you. If you are coming alone but would like a roommate, please let us know and we will partner you up.

Friend's Name

First Last

If you are coming with a friend, or registering as a couple, please type their name above.
After you register for the retreat with our office, you can make your own room reservations by calling the hotel directly at 1-844-258-2148 . Please mention Grace Cirocco’s Sedona Retreat to get this special rate. DEADLINE: Rooms will be released Feb. 8, 2018! This is a very popular hotel and is always booked up. If you are coming, make sure you book your room with plenty of time.

Deposit of $500 CDN per person is required to guarantee your reservation. *

Credit Card - We accept MC & VISA. Leave your card #, expiry, & > number on the back on our secure landline (24 hours) 905-688-0868

E-transfer - Please send to grace@gracecirocco.com Fast & easy, your amount will be auto-deposited.

Please click submit to enter the form. Please only click submit once and wait for the confirmation message.