Member Pledge and Registration Form

If you need assistance completing or submitting this form, please contact Jennifer.


Your Name

Please type in your full name

Please type in your full name

Please type in your email address.

^^ The address above will be used for official mail from CSS staff and will be kept private.


Contact information
Is your contact information correct in the recent email we sent to you with subject 'CSS Membership Pledge and Fall Group Registration'?*
Is your contact information correct in the recent email we sent to you with subject 'CSS Membership Pledge and Fall Group Registration'?
Please check the email and select the appropriate option.

^^ The above address will be included in the member directory, which is available only to members.

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Subscription preferences
Email subscriptions:*
Email subscriptions:

Please select at least one option


Membership pledge
The pledge amount must be a whole number.

Enter a number only (no dollar sign). If you have a special circumstance or hardship that limits your monthly pledge to less than $5, enter it below in the comments. The amount you pledge is entirely up to you. You can pay monthly, quarterly, or annually. Your pledge is for the fiscal year from Sept. 1 - August 31.

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Please check:*
Please check:
Please check the box

How you would like to receive your donation acknowledgment / tax receipt?
How you would like to receive your donation acknowledgment / tax receipt?
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Enrollment

 

Select the group(s) below that you might attend, even if you are not sure yet.

Note: Before selecting your practitioners' groups below, you may want to review the detailed Practitioners' Groups Descriptions, and also consult the CSS Calendar for the times of other offerings such as workshops. Workshop registration is separate from the practitioner's group registration here.

Supporting
Supporting
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Distance
Distance
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Foundations
Foundations
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David-Thu
David-Thu
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David-Tue
David-Tue
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Todd
Todd
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Andrea
Andrea
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Submit
Click the Submit button. IF YOU STILL SEE THE FORM AFTER CLICKING SUBMIT, SCROLL UP AND FIX THE ERRORS IN RED.