<p> OASIS RETREAT Application – OASIS by the Sea – 46 Soundview Avenue, Milford, CT</p><p>Friday, November 13 9:30 AM – 3:30 PM EST</p><p>Please fill in this form and return it via o email: [email protected] with copy to [email protected] o or mail: Renee O’Connell * OASIS * 3 Old Country Road * Oxford, CT 06478</p><p>Name ______email ______</p><p>Address ______tel ______cell ______fax ______</p><p>Profession ______your website ______</p><p>1. How did you know about this Retreat? and/or How long have you known Millie – from where?</p><p>2. Why are you interested in the OASIS Retreat? – What attracts you to OASIS right now?</p><p>3. Are you taking the Retreat primarily to: a) benefit yourself b) use with others c) both d) not sure yet</p><p>4. What do you especially want for you on this OASIS Retreat Day?</p><p>200 Orchard Street, Suite 301 New Haven, CT 06511 203-789-2191 milliegrenough.com [email protected] Extend your Retreat Day with Happy Hour & Supper at Mercy: ______Celebrate/schmooze with Millie and her OASIS Grads - $25</p><p>CCEUs ______For ICF Coaches: 3 Core Competencies, 3 Resource Development - $20 ______For Counselors, LMFTs: 6 CEUs - $20</p><p>OASIS books, CD, DVD – buy that day at a special discount.</p><p>Retreat $70 Schmooze & Supper $25 CCEUs $20 Day 2 – Training $550</p><p>____ Yes, I want to apply for the OASIS Retreat being offered. ____ Yes, I want to apply for Day 2 of the OASIS Training. ____ Enclosed is my check made out to OASIS. ____ I prefer to pay by credit card or cash. Please contact me.</p><p>Name (printed) ______</p><p>Signed ______</p><p>Date ______</p><p>Any questions, feel free to contact Training Director Renee O’Connell at 203-982-9251 or [email protected] Thank you!</p><p>200 Orchard Street, Suite 301 New Haven, CT 06511 203-789-2191 milliegrenough.com [email protected]</p>