Registration Form

If you are interested in any of our retreats or vacation packages, please fill out the following information so that we may contact you to discuss which program will best suit you. To submit this information to Healing Palms of Kauai fill out the following information and mail to the address below.

Caregiver's Name
Address
City
State
Zip
Phone Number
Alternate Phone Number
E-mail
What program are you most interested in?
What month would work best?



Healing Palms of Kauai will do everything it can to make this retreat/vacation a beautiful, re-energizing experience. We schedule our programs months in advance. If you have special needs or circumstances, please feel free to share them with us. Your comments and feedback make a difference.

Payment Terms

If you are a participant purchasing this for yourself, we require a deposit of 50% at the time of registration. The remaining balance must be received in full 60 days prior to your arrival date for the program. Healing Palms of Kauai will work out a convenient payment plan upon your request.

If you are a participant in a group package, Healing Palms of Kauai shall coordinate these terms with your group representative. If you are interested in a group package, please contact Sheila Christianson directly by E-mail at info@healingpalmskauai.com. Special rates and arrangements are offered to groups.


Healing Palms of Kauai requires payment in full for gift certificate purchases. Gift Certificates expire within one year from the purchase date.
Healing Palms of Kauai reserves the right to make extensions on a case-by-case basis.

Payments are accepted in Cash / Traveler's Checks, Personal / Certified Check, Money Order, Visa or Mastercard.


Direct Mail to:
Healing Palms of Kauai, Inc.
P.O. Box 9172 Denver, CO 80209
Attention: Accounts Receivable

In the event of a cancellation, we require 60 days' advance written notice. This can be done via e-mail. We are sensitive to our caregivers' needs and understand that life circumstances can limit one's participation. We request your consideration by giving us as much notice as possible. With 60 days' advance written notice, your full deposit shall be placed into a special account for future guaranteed use of your vacation in whatever program you desire. If you require a refund, we will assess each individual situation. The amount refunded to you will depend upon the amount of notice given, our expenses incurred to hold your accommodations, etc., and/or the ease of filling your cancelled reservation.

Ultimately, Healing Palms of Kauai would like to accommodate your special needs. We will do whatever we can to facilitate a win-win situation.

Mahalo Nui Loa (Thank You Very Much)!