Registration

To register for the weekend intensives fill out the form below. If you are interested in the possibility of taking a future facilitation training, please indicate your interest below in the appropriate box.

You may pay either at the intensive or ahead of time by check or credit card to secure your space. If you wish to pay by credit card, call our office at 707-431-7265. If you have questions, email our office at bvbi@leapnow.org.

To inquire about sliding scale payment options, fill out the form below and include your request and the reason for your request in “Other Comments”.

Your Name (required)

Your Email (required)

Your Phone Number (required)

Your Address

Best method and time of day to contact you

Which intensives are you applying for?
 All 2016-2017 Intensives September 29 & 30 November 3 & 4 December 1 & 2 January 12 & 13 February 23 & 24 March 23 & 24 April 20 & 21 May 18 & 19 June 1 & 2

Will you need housing during the retreat?
 Yes, I need housing No, I do not need housing

Are you interested in discussing the Facilitation Training?
 Yes, I am interested in participating in a future training

Any other comments?

How did you hear about BVBI?

For your registration to be considered complete your payment must be received. Please indicate how you will submit payment:

 I will call LEAPNOW (707-431-7265) with my Visa or Mastercard information. I will send a check payable to LEAPNOW to 11640 HWY 128, Calistoga, CA 94515