Registration

Step 2. Registration Information

If you’d like to read about your circle choices, open the Homecoming schedule in a new window.

Full Name (required)

Address 1

Address 2

City

State (two-letter abbreviation)

Zip

Phone

Email (required)

Confirm Email

Special needs
vegetarianvegangluten-freeallergieshandicapped

Please let us know
about any specific food allergies or special needs you have

Saturday AM Circle

Saturday PM Circle

Are you coming as part of a group?
yesno
If so, who else is in your group?

Will you be in silence?
yesno

Emergency Contact
e.g. Mark 800-555-1212

How did you hear about the retreat?
LaelPostcardFriendWebsiteNewsletterOther
If "other," please let me know who referred you

I agree to the Terms and Conditions

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