Registration April 2010 Knusten Retreat Center
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Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
town _________________________________State_____________________Zip___________________
e-mail: _____________________________________________________________
Phone:___________________________
Special dietary requirements: ____________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Special physical needs: _________________________________________________________________
______________________________________________________________________________________
□ Enclosed is my deposit $50__________________________________________
□ Enclosed is full payment in the amount of $125_____________________________________
Totals___________________
Make Checks or Money orders to
Lorna Koestner
Mail to:
Lorna Koestner
301 Doty Ave W
Pine River, MN 56474
Contact Info:
In holding your space , a non refundable deposit of $50 will be needed. The balance $75 will need to be received . Please mail a check or money order and the information form to:
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Make checks out to Lorna Koestner 301 Doty Ave W Pine River, MN 56474
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Due to limited space artisans, massage therapists, readers, and other trained healing practitioners will need to fill out an application for tables and space
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Camp Knutson is located on Whitefish lake:
11169 Whitefish Ave CrossLake MN 56442
Healers and readers will be available at their
rates.
If you have questions please contact retreat
organizers
Gayle Wanger sylvia@sylviasattic.com
218-252-0867
Donna Barnett donna_barnett@comcast.net
Lorna Koester lornasgarden@hotmail.com
218-839-1090
Karen Weego kweego8@gmail.com