WCC 2022 Registration Form 2022 West Coast Dowsers Conference Registration Form (1) Step 1 of 8 12% Have you been vaccinated for COVID-19?(Required) Yes No For more information about our COVID-19 protocols, please click here.All conference attendees must be vaccinated. For more information or any questions about this requirement, please contact us by phone at 978.496.8599 or via email at [email protected] Please be sure to choose the following items depending on your interest with the conference. There will be no refunds after June 1, 2022.If you'd like, please share with us how you found out about the conference in the box right below this. (Friend, Facebook, Zoom Meeting, etc.) You'll get a FREE PRIZE at the conference! Thank you! Who will be attending the conference?(Required) Just me Myself and a spouse or companion Your InformationYour Name(Required) First Last Your Email(Required) Your Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your Cell Phone number (if we need to contact you before/during the conference)(Required)Have a Website? We'd love to see it! Please put the https:// Emergency ContactEmergency Contact Name(Required) First Last Relationship (i.e. Spouse, sibling, friend) Emergency Contact Phone Number(Required) Companion's InformationYour Spouse/Dowsing/Travel Companion's Name First Last Your Spouse/Dowsing/Travel Companion's Email Your Spouse/Dowsing/Travel Companion's Mailing Address (if different from yours) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your Spouse/Dowsing/Travel Companion's Cell Phone number (if we need to contact them before/during the conference) Is this your first Dowsing Conference? Yes No What is your age range?(Required) Under 18 19-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ (show us your license and win a prize!) What are you hoping to learn? What are your interests? (You may choose more than one) Select All Learn to use dowsing tools (Pendulum, Y-rod, L-rod) Find Water Well Treasure Dowse Animal Communication Healing Finding Missing People, Pets, Items Manifestation UFOs, Extraterrestrial Topics How to convert/improve energy (personal and otherwise) How to clear the energy in your home or property What do you hope to learn? We will do our best to customize the schedule for your interests. What are your expectations for the conference? AttendanceDo you plan to attend the entire conference, from SATURDAY July 2, 2022 through TUESDAY July 5, 2022? If you plan to attend for more than Two (2) Days, please select YES. This price does not include school or workshops.(Required) Yes, I will attend the full conference No, I will only attend certain days FULL CONFERENCE (JULY 2ND, 3RD, 4TH & 5TH) For 3 1/2 Days(SATURDAY, SUNDAY, MONDAY AND 1/2 DAY TUESDAY, (9:00 AM - 5:00 PM & 9:00-NOON on Tuesday) $320 Price: Check which Day or Days you plan to attend ($130 per day)(Required) Saturday, July 2, 2022 Sunday, July 3, 2022 Monday, July 4, 2022 Tuesday, July 5, 2022 Saturday - Attendee Price: Sunday - Attendee Price: Monday - Attendee Price: Tuesday - Attendee Price: Does your spouse or companion plan to attend the entire conference, from SATURDAY July 2, 2022 through TUESDAY July 5, 2022?(Required) Yes, they will attend the full conference No, they will only attend certain days FULL CONFERENCE (JULY 2ND, 3RD, 4TH & 5TH) For 3 1/2 Days(SATURDAY, SUNDAY, MONDAY AND 1/2 DAY TUESDAY, (9:00 AM - 5:00 PM & 9:00-NOON on Tuesday) Price: Check which Day or Days YOUR SPOUSE/DOWSING/TRAVELING COMPANION plans to attend ($130 per day)(Required) Saturday, July 2, 2022 Sunday, July 3, 2022 Monday, July 4, 2022 Tuesday, July 5, 2022 Saturday - Companion Price: Sunday - Companion Price: Monday - Companion Price: Tuesday - Companion Price: Dowsing SchoolPlease select from the choices below (optional) for BEGINNER or ADVANCED Dowsing School on Friday, July 1, 2022. This is for both yourself and your spouse/companion (if applicable). This is an additional cost beyond the July 2nd to 5th Full Conference. In the Beginner/Basic Dowsing class you will learn how to use the following dowsing tools: L-Rod, Y-Rod, Pendulum and Bobber. Map dowsing will be taught and we will have time to practice outside finding water veins. It will be lots of fun!Please select a Dowsing School option for Friday, July 1: No attendees Beginner Advanced BEGINNER Dowsing School: FRIDAY July 1, 2022 - Full Day 9:00 AM - 5:00 PM. Please select number of attendees by clicking on the down arrow.No attendeesOne beginner student - $125One beginner student (CURRENT w/ID college student rate) - $75Two beginner students - $250Two beginner students (CURRENT w/ID college student rate)- $150Will you attend a full day or half day?(Required) Full Day Half Day ADVANCED Feather Full Day Dowsing School: FRIDAY July 1, 2022 - Full Day 9:00 AM - 5:00 PM $150No attendeesOne Feather advanced student - $150Two Feather advanced students - $300ADVANCED JOE AM 1/2 Day Dowsing School FRIDAY, July 1, 2022: HALF Day 9:00 AM - NOON; Pricing with Joachim (Joe) Wippich) $75No attendeesOne advanced student - $75Two advanced students - $150ADVANCED ADHI PM 1/2 Day Dowsing School Pricing with Dr. Adhi Two Owls: Dowsing for Gold July 1, 2022: HALF Day 2:00 PM - 5:00 PM $75.No attendeesOne advanced student - $75Two advanced students - $150 WorkshopsPlease select from the choices below (optional) for workshops on Tuesday, July 5, 2022. This is for both yourself and your spouse/companion (if applicable). This is an additional cost beyond the July 2nd to 5th Full Conference.Please select a workshop option for Tuesday, July 5: No attendees Full Day Half Day WORKSHOP: (Full Day with Adhi) Pricing: TUESDAY, July 5, 2022: Full Day 9:00 AM - 5:00 PM. This is an additional cost beyond the July 2nd to 5th Full Conference. Price: $150 Per Person for the Full Day.No attendeesADHI One Full Day workshop student - $150ADHI Two Full Day workshop students - $300WORKSHOP: AM 1/2 Day workshop TUESDAY, July 5, 2022: HALF Day 9:00 AM - NOON; Pricing with Grahame Gardner $75. This is an additional cost beyond the July 2nd to 5th Full Conference.No attendeesOne AM Grahame 1/2 Day workshop student - $75Two AM Grahame 1/2 Day workshop students - $150WORKSHOP: PM 1/2 Day workshop TUESDAY, July 5, 2022: HALF Day 2:00 PM - 5:00 PM; Pricing with Alan Handelsman $75. This is an additional cost beyond the July 2nd to 5th Full Conference.No attendeesOne PM Alan 1/2 Day workshop student - $75Two PM Alan 1/2 Day workshop students - $150 HousingYou will share an apartment of 3 to 4 bedrooms (singles and doubles) with 2 shared baths. There is a living room/kitchen area but there are no utensils or appliances other than a stove and refrigerator and living room furniture is minimal. There are a limited number of apartments without stairs for people with mobility issues. If you would like a double but don’t have a roommate, we can assign you a roommate. If you would like to share an apartment with friends, please provide the names of your friends. There are no private bedrooms on campus. If you want a private bathroom, tv or telephone see what’s available in the Santa Cruz area. Three meals a day and parking are included with your housing. It is not possible to pay for housing without meals. The Stevenson Campus cafeteria is experienced in catering to multiple diet needs, including vegetarian, vegan and gluten free. The University will not refund housing costs after June 24th. There will a $25 fee for any change in room assignment. However, we cannot guarantee any unit changes after you arrive on campus. There is a charge of $75 for lot room keys. There are 2 keys per room, one for the room and one for the apartment. “A large part of my learning at the Conference happens when I talk to people at meals, in the vendor area and when I walk out of the classroom.” HOUSING: Please list the names of people you would like to share your apartment with or Roommate preference(s). If you don't have a preference, we will place you. HOUSING: Do you need a ground floor unit? Please register by June 1, 2022. YES NO HOUSING: *SINGLE ROOM* Type in the number of nights you're staying (ONE Person sleeps in the room) Price: $150.00 Quantity: HOUSING: *DOUBLE ROOM* (for you) Type in the number of nights you're staying. If you are paying for your spouse or roommate, please complete the housing for Roommate or Spouse below. If you do not list a roommate, we will assign one to you of the same sex. Price: $135.00 Quantity: HOUSING: *DOUBLE ROOM* (room mate or spouse) Type in the number of nights you're staying Price: $135.00 Quantity: HOUSING: CHECK OFF TO CHOOSE THE NIGHTS YOU WILL STAY TUESDAY NIGHT, JUNE 28, 2022 WEDNESDAY NIGHT, JUNE 29, 2022 THURSDAY NIGHT, JUNE 30, 2022 FRIDAY NIGHT, JULY 1, 2022 SATURDAY NIGHT, JULY 2, 2022 SUNDAY NIGHT, JULY 3, 2022 MONDAY NIGHT, JULY 4, 2022 TUESDAY NIGHT, JULY 5, 2022 Coupon Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Δ