Registration Form

In order to maintain the simple and contemplative nature of The Bridge-Between Retreat Center,
we request that you complete the following form. You will be brought to a confirmation page that you will print out then send it with your payment and information to:

The Bridge-Between Retreat Center
4471 Flaherty Lane
Denmark, WI 54208

Phone: 920-864-7230
Fax: 920-864-7044

For more information, please e-mail The Bridge-Between Retreat Center
info@bridge-between.com

* = required field

*First Name:

Middle:

*Last Name:

*Address:

Address 2:

(Ste, Apt, Bldg)

*City:

*State:

*Zip Code:

*Phone:

*Email:

Additional Retreatants:

*Dates Preferred:

Please enter Month, Day(s), and Year

Approx Arrival Time:

Lodging:

Silo Hermitage Cottage Hermitage Granary Lodge (Exclusive use $150.00)

*Please indicate the type of retreat that interests you:

Individual Day of Reflection
Group Day of Reflection
Sabbatical (desired length of time)
Special Program/Workshop
Please list program name/date/donation
Personal Retreat

Self Directed Group Retreat
Individual Directed Retreat
Directed Group Retreat
Massage/s

Please select at least one of the following retreats
	Suggested Donations
Day of Reflection	$19.00/day
Overnight(s) Silo Cottage Granary Includes meals, linens, and lodging	$65.00/night
A Couples Winter Weekend Choose any weekend in January, February, or March. A turn of the century get-away for couples. Come down the gravel road and be greeted by a glowing fire in a 1890s Granary Lodge. The laid back simpler times country rhythm allows for relazation, refreshment, and time to reflect. Enjoy a candle-lit dinner in the farmhouse dining room. In the morning, coffee and fresh home made muffins will be delivered to your door! Arrive Friday night for dinner and check out before lunch on Sunday.	$260/couple
Spiritual Direction Please include number of sessions	$50.00/session
Group Presentation/s	$150.00 + transportation
Hands-on Education Building your relationship with Earth. Where does food come from? Meet your local farmer and the animals up close. Taste the goodness of sunshine and love.	Contact Us
Build Community Through Group Retreats.	$19 per day or $65 per overnight
Sabbatical Includes 2 donated hours per day	$960.00/month
Massages 1 hour each	$50.00/session

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The Bridge-Between Retreat Center
4471 Flaherty Lane, Denmark, WI 54208
Phone: (920) 864-7230 • Fax: (920) 864-7044
info@bridge-between.com