Costa Rica Rocket Retreat - Jan 17-22, 2026 Registration Request Form

Please complete this form to request enrollment in our retreat.

First and Last Name

E-Mail Address

Dietary Preferences or Restrictions

Private vs Shared Room

Each suite features one or two queen beds, a spacious private bath with shower/bath tub, and your very own terrace and garden with outdoor seating. Due to limited rooms at this retreat center, we are only offering two rooms with solo occupancy; all other rooms will be shared. Requests are on a first-come, first-served basis.

Shared room ($1795)
Private room ($2195)

Balance Payment Plan

Select your preferred method for paying the balance for your retreat. If you select Payment Plan, we will contact you with final details. *Please note that your card will NOT be charged upon completing this form. We will follow up with a formal contract before charging anything.

Set up Payment Plan ($295 charged now)
Pay Balance in Full via CC on file ($295 plus balance will be charged immediately)

Shirt Size

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