Registration

Thank you for your interest in learning, reflection, and inspiration through the Beloved Community Journey!

To register, please complete this form (one per person).

We’ll acknowledge receipt of the registration form and, as soon as possible, confirm participation status. We’ll create a wait list if we have more applicants than spaces. 

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Email *
Preferred First Name (and middle initial if you use it) *
Last Name *
Preferred Pronouns *
Birthdate
MM
/
DD
/
YYYY
Street Address *
City, State, Zip *
Mobile Phone *

Please note any affiliation(s) with Carolina Friends, another school or educational institution, and/or a Quaker meeting or other organization. 

Any dietary restrictions? If so, how might we best support you on the trip?

Any mobility or other physical limitations? If so, how might we best support you on the trip?

Optionally, please indicate the name(s) of any preferred roommate or if you want the $525 single room supplement.

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