Registration Form


Name: __________________________________________

Address: ________________________________________

Phone (home) ______________ (work) ______________

Email: ___________________________________

Check Room Requirements: (Per Person for Weekend Event. Includes Lodging for Friday, and Saturday nights, meals (except breakfast), taxes, room fees - Thursday's room fees are at the registrants expense but can be made by me.)

___ Arriving on Thursday and need a reservation

___Smoking ___Non Smoking ___Handicap Room

Fees are still under review due to price increase - 

Private Room ___ $  340.00

Double Room ___ $  235.00 

Assign me a roommate __________________________

I'm sharing a room with ___________________________

Day Visitor $150.00  (includes classes and meals, subject to space available; advance registration required.)


Mail form and check/money order.
Payable to :
Ida Williams
7302 Whispering Pines Rd
Shreveport, LA 71129 


No refunds after March 1, 2010 for the April 2010 and June 15, 2010 for the July/August 2010 retreat retreat, you may transfer your registration to another individual (subject to my approval).