Center for Sacred Sciences

REGISTRATION FOR RESIDENTIAL ATTENDANCE IS CLOSED. ONLY REGISTRATION FOR ZOOM ATTENDANCE IS ALLOWED AT THIS TIME.

Return to Intimacy
An eight-day residential silent retreat hosted by Todd Corbett
Friday 28 August — Friday 4 September, 2026
at Alton L. Collins Retreat Center, Eagle Creek, Oregon

Note: Only current CSS members may register for retreats
PLEASE FOLLOW THESE INSTRUCTIONS:
1. Fill out this form from top to bottom.
2. Enter amounts as numerals (e.g., '50' not 'fifty').
3. Any item marked with (*) cannot be left blank.
4. Click the Submit button at the bottom when finished.
5. You will get an email message with your information and payment instructions in it.
6. Send your payment to CSS to complete your registration.

RETREAT FEES

All participants should attend in person at Collins if possible. How will you attend?*

In person at Collins Retreat Center

Remotely via Zoom

You must select an option.

Please select your residential retreat fee. If it is a financial burden for you to pay the basic fee, select reduced fee to request a scholarship to cover the remaining amount.*

$1350 - Supporting fee

$1290 - Basic fee

Reduced fee (enter below)

This field is required

Please explain why it is not possible for you to attend the retreat in person.*

This field is required

Please select your Zoom attendance fee. If it is a financial burden for you to pay the basic fee, select reduced fee to request a scholarship to cover the remaining amount.

$530 - Supporting fee

$490 - Basic fee

Reduced fee (enter below)

Invalid Input

I can afford to pay the reduced fee that I have entered here, and I would like a scholarship for the remaining balance.*

please enter a dollar amount as numerical digits.

DONATION

The CSS retreat scholarship fund helps practitioners in financial need attend CSS retreats. Enter the amount you are donating (which must be paid when registering).

please enter a dollar amount as numerical digits.

RETREATANT INFORMATION

First Name*

Please provide your first name.

Last Name*

Please provide your last name.

Your Email - Please double-check that your email address is correct! You will not receive a confirmation of registration if your email address is not correct. *

Please provide your email address and make sure it is valid.

Your Phone Number:*

Please provide your phone number.

Street Address:*

This field is required.

City:*

This field is required.

State:*

This field is required.

Zip / postal code:*

This field is required.

Country:

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Would you like to participate in ride sharing to/from the retreat?*

Yes, I can drive and give a ride to someone.

Yes, I would like a ride from someone else.

No, I have no need to participate in ride sharing.

This field is required.

Please indicate if you have any special transportation plans or needs:

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Please describe any physical limitations, or health/medical issues that we should know about:

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Health care provider, in case of a health emergency during the retreat:*

Please provide the name of your healthcare provider.

Phone number of heathcare provider named above*

Please provide the phone number of your healthcare provider.

Emergency Contact: Name of spouse, close friend, or family member we should contact in case of an emergency during the retreat :*

Please provide the name of your emergency contact.

Phone number of emergency contact named above*

Please provide the phone number of your emergency contact.

Other considerations. Please let us know if you have any special needs that we should be aware of. Indicate below if there is anything else we need to know in order to prepare for your arrival--for instance, you use a wheelchair, or you need to bring medical equipment with you. It is easier for us to accommodate your needs if we know in advance. Thank you!

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Please carefully review all the information above, make sure all items marked with * have been completed, then click the Submit button below. After you click the Submit button below, you should see a confirmation page. If you are returned to this form instead, there was a problem with the form, and you need to review all your information and try again.

Before you submit this form, you must click the box.*

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By clicking Submit, you are making a commitment to attend this entire retreat, and you understand and accept the CSS retreat fee refund policy.

Retreat Registration