Non-Residential Retreat Registration

A five-day non-residential retreat led by Joel
October 13-17, 2018
CSS, Eugene, OR

To register for this retreat you must be a current member of CSS. By registering for this retreat, you are making a commitment to attend every session on every day of the retreat.


PLEASE FOLLOW THESE INSTRUCTIONS:
1. Fill out this form from top to bottom.
2. Any item marked with (*) cannot be left blank.
3. Click the Submit button at the bottom when finished.
4. You will get an email message with your information in it.





Full Name*

Please let us know your 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 a valid email address.

Your Phone Number:*

Please provide your phone number.

Street Address:

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City, State, Zip:

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

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Special needs or requests, or any concerns or questions for the retreat coordinator:

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If you are a sentient being, please click the box:*

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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.