Way of the Spirit 2017 Registration Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Contact Information First Name * Last Name * Email * Preferred Phone Number * Cell Phone Please include a cell phone number in case we need to reach you during travel days. Mailing Address (street or P.O. box) * Some reading materials may be mailed to you. City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Meals, Accessibility, Travel, & Payment Meals * Good quality meals at the retreat center are served buffet style. They feature fresh, local ingredients with options to please many dietary needs. However the retreat center does not provide specialized vegetarian, vegan or gluten free menus. You are welcome to bring food to supplement our meals, and a full size refrigerator is provided. Our shared snack table adds healthy possibilities. To aid planning, we collect and pass along the information below. If you live with Celiac disease, please let Chris know. I have no special requirementsVegetarian (includes milk and egg products)Vegetarian/Vegan (no animal products)Gluten free (no wheat)Other (explain below) Other Dietary Needs Accessibility Needs If you have concerns about getting around the retreat center, please let us know what will help make your experience flow smoothly. Meeting space, private bedrooms and dining hall are on the second floor. There is an elevator. Bathrooms are shared and wheelchair accessible. Would it help to have your bedroom close by? Ride Sharing Yes, I can drive others from my areaYes, I need a ride from my town and will help pay for gasNo, I will make my own travel arrangements to and from the retreat houseOther (explain below) Other Travel Plans Continuing? * What are your plans for Way of the Spirit after the February retreat? The two year retreat cycle continues through October 2018—Module 2, May 2017; Module 3, September 2017; Module 4, January 2018; Module 5, April 2018; Module 6, October 2018. After Module 1, the continuing program class size is limited to 15-18 participants. Applicants who respond "yes" will have priority in the continuing program. Final discernment of 2017 continuing class members will take place after Module One. Yes, I plan to continue Perhaps, but I will make a final decision after Module 1.No, I will attend Discernment as a stand alone retreat. Total Fees Expected * What do you expect to pay for the Module 1 retreat? You may check more than one box below. Full fees are due by February 1st, although earlier payments are very helpful. If you continue in the Way of the Spirit program past Module 1, all payments will apply toward full program fees. Donations to Way of the Spirit scholarships are gratefully accepted. $375 for Module One: Discernment as a stand alone retreat$950 for Module One: Discernment as the first of three Way of the Spirit modules in 2016Regular payments over time (e.g., $240/mo). Describe in comments belowI wish for scholarship assistance. Indicate amount you can pay by 12/31 in comments belowI wish to contribute $50 to the scholarship fund, or other amount in comments below Intended Payment Method * I will pay by checkPayPal (available Dec 2016)Online bankingOther (explain below) Comments on Expected Fees and Payment Plans Payment is accepted through Good News Associates, Way of the Spirit's non-profit home. Most pay by check. PayPal will be available in December. Confirm other arrangements through the GNA office, Jan Wood Executive Director, at firstname.lastname@example.org Write check to “Good News Associates,” with memo line: Way of the Spirit Mail to: Jan Wood, Good News Associates 13730 15th Ave NE, A302 Seattle, WA 98125 What questions do you have about Way of the Spirit? Five + 3 = * Type the single numeral eight, to ensure that you are a human being filling out this form. Your application is not complete until you click the blue submit button above. Incomplete forms will block the submit function. You'll see red notes about omissions or errors to correct on this page. When the form is successfully submitted, you'll see a "Thank You" message instead of the registration form here. You'll also receive an email confirmation shortly to the address you listed above. It will include your registration responses. If you don't receive email confirmation, please check your email filters and contact Christine Hall: email@example.com. Thank you.