Stepping Into Clarity: A New Year’s Retreat & Refuge Ceremony

* These fields are required

1 Welcome

2 Cost

3 People in your group

4 Participant Info

Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Video and still photo permission *	I understand that there may be video and still photography at the event, and I will contact the event manager if I do not wish to have my image used.
How did you hear about this program?	KCC website KCC announcement or newsletter friend internet search other
Please indicate if you are coming in person or via Zoom *	In Person Zoom

5 Donation to KCC's Financial Assistance Fund

6 Payment