Beckley Retreats Student Practicum Program

Practicum with Beckley Retreats includes both virtual and onsite activities.

Please register and select your desired room type during the retreat below.

* These fields are required

1 Welcome

2 Price

Select a price.

$1,250.00 – Shared Room

$2,000.00 – Private Room

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3 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

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4 Participant Info

Phone Number (including Country Code) *
Gender	We only ask this information for rooming assignment purposes.
Birth Date
Billing Address
Address 2
City
State/Prov.
Zip/Postal
Country
Mailing Address
Address 2
City
State/Prov.
Zip/Postal
Country
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Email
Emergency Contact Relationship
Do you have any dietary restrictions or food allergies?
Special Accommodations
Discount code

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1 Welcome

2 Price

3 People in your group

4 Participant Info

5 Payment