Awaken Now!
A four day residential Retreat
with Leonard Jacobson

April 24 - 28, 2019

Registration Form

When: The retreat begins at 7:00 pm on Wednesday April 24 - 24, 2019 and ends on Sunday April 28, 2019 @ 12:30 pm. Registration begins at 4:00 p.m. The opening session begins at 7:00 p.m.

Where: Mt. Madonna Retreat Center, 445 Summit Road, Watsonville, CA (near Santa Cruz)

Cost: $700 Tuition

Early Registration: Before November 1, 2018: $600 Tuition

PLEASE NOTE: All-inclusive room & meals additional. For accommodation choices and cost, see below. The balance for tuition and accommodation will be due upon arrival at the retreat.

Cancellation Policy: You can cancel your registration up to one month prior to the event. You will receive a refund of the payment less $100 administration fee. If you cancel within one month of the event, there can be no refund or credit, as we have contractual obligations with Mt Madonna.

All that is required now is that you fill in the registration form below, indicating your housing preferences. You will need to pay Tuition.

Accommodation Costs are payable to the Conscious Living Foundation at the time of registration at the retreat on April 24. You will be notified at that time which housing is allocated to you. We will do our very best to meet your preferences, but please be aware that that is not always possible. You must fill out a separate registration form for each person attending a program.

*First Name

*Last Name

*Gender

*Street

*City

*State/Province

*Zip/Postal Code

*Country

*Home Phone

Work Phone

Cell Phone

*Email

*Email Again

Have you been to a Leonard Jacobson retreat before?

If your answer is no, a prerequisite for attending this event is to have read Leonard's latest book, Journey into Now. To purchase, click here.

Housing Choices

Please indicate your first and second choices for housing. If you have a special health need that influences your housing assignment, please note this in "Additional Requests" below.

First Choice

Second Choice

Please email us for available housing

If you wish to share a room with someone, put their name or names here and make sure they register separately:

Additional Requests

When you have completed the registration form click on submit below to pay your deposit.

Please note: Your registration will not be complete until you proceed to the shopping cart for payment of the Tuition Cost. Filling out a registration form without payment will not hold a space.