Sacred Gathering of Men June 24-26, 2022

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Registration Form

Email *

First Name *

Last Name *

Cell Phone *

Emergency Contact Person *

Best Way to Reach Emergency Contact *

Housing Options *

Indoor Accommodations - shared

Indoor Accommodations - private

Bring Own Tent/Camper

Commuting/Staying Off-Site

Other . . .

Dietary Preferences - check all that apply *

Vegan

Dairy

Eggs

Gluten-free

Poultry

Will Bring Own Food

Specific allergies or other, please describe below . . .

Required

Please describe any specific dietary requirements.

Registration - check all that apply *

Program, Meals, Commuting (i.e., staying offsite) $240

Program, Meals, Riverside Camping - Bring Own Tent - $280

Program, Meals, Indoor Shared Room - $300

Program, Meals, Private Room - $360

Optional Scholarship Contribution - any amount welcome!

Presenter/facilitator

Required

Payment - You may pay now via PayPal or Venmo (if paying via PayPal, please be sure to check the "Friends and Family" option), or you may pay in person at the retreat by cash or check. Please select your method of payment below and complete the payment on the appropriate platform now (if applicable). *

PayPal: @EzekielFugate

Venmo: @Ezekiel-Fugate

Cash or check (to be paid in person upon arrival)

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