COR Retreat Registration Form

Please complete the registration form below after submitting your payment.

Your payment secures your place at COR Retreat.

"*" indicates required fields

Date of COR Retreat*

Name*

First Name Last Name

Gender

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Emergency Contact Name and Phone*

How would you like your name to read on your name tag?*

Do you have any special needs, dietary restrictions or food allergies?

(examples: Vegetarian, no red meat, no dairy, nut allergies, no or low-carb food plan, etc.)

Do you have any physical or mental health issues that we should be aware of? Any disabilities requiring accommodation?

Briefly, what is your experience with Overeaters Anonymous and/or other 12 Step programs?

Please type your name below to accept the terms and conditions outlined below.*

How did you hear about COR Retreat?

Payment Information: The registration fee for COR is $1,450 which covers all lodging, meals, and program materials at the retreat. You can pay online at www.cormn.org/register using PayPal or your credit card. If you want to pay by check, send your payment with the completed registration form.

Cancellation Policy
COR Retreat has limited capacity and our retreats frequently fill up with a waiting list. In consideration of the time and effort it takes for potential guests to make reasonable family, work and travel accommodations COR Retreat has the following cancellation policy:

30 Days prior to and including retreat start date, you will receive a full refund.
15-30 Days prior to the retreat, you will receive a 50% refund.
Less than 15 days prior to the retreat, you will not receive a refund.

In the event of last minute unforeseen circumstances such as illness, family emergency, weather or travel delays/cancellations COR Retreat will assist you in rescheduling attendance and will honor original payment and registration for up to 6 months.

Disclaimer: I understand that COR Retreat does not warrant or agree to effect a cure from the effects of food addiction, but merely agrees to provide me a safe and supportive, mutual-help environment in which to share the principles in the Twelve-Step program of recovery. I understand that COR Retreat provides no clinical and/or counseling services and is not a replacement for a clinical or therapeutic treatment.

COR Retreat, Inc. is a Minnesota non-profit corporation and a tax-exempt public charity under Section 501(c)(3) of the Internal Revenue Code. COR Retreat is operated by a small staff. The daily schedule at COR Retreat is facilitated by its Program Director and faithful volunteers who seek to “pass on” a solution of hope and recovery. The registration fees paid by COR Retreat participants cover only a portion of the cost of each retreat and ongoing administration. The balance of the expenses are funded by donations from those committed to help others overcome their food addiction.

COR Retreat is not affiliated with the programs offered by The Retreat. However, COR Retreat is fortunate to be able to utilize the McIver Center and offer The Retreat’s award winning, and healthy, cuisine to its participants. COR Retreat is also not affiliated with and does not represent Overeater’s Anonymous, Inc. or any other recovery program.

COR Retreat Registration Form

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