Program Registration Form

Please use this form to send your registration information. One is not officially registered for a workshop until the $100 nonrefundable deposit is received. Please mail check or call the office with your credit card information.

Personal Information
Program
Program 2 (if you are registering for more than one program)
Participants
Children
All children must be accompanied by adults.
Transportation
One is not officially registered for a workshop until deposit is received.

Pumpkin Hollow Retreat Center, 1184 Route 11, Craryville, NY 12521

Phone: 518-325-3583 | Fax: 518-325-5633