Please enable JavaScript in your browser to complete this form.Today's Date: *Contact Information (Name, FULL address, phone number & email): *Emergency Contact (Name & phone number): *Will you require lodging during the retreat? *YesNoUnsureHow many nights?Where did you hear about the C.P Retreat? *Already a Centering Prayer Practitioner (skip next line)All Saints' Website (skip next line)Mail/Email Correspondence (skip next line)Friend/Family MemberFriend/Family Member NameAre you currently a Centering Prayer Practitioner (being a current practitioner is not required)? *YesNoForm of Payment ($275 or $225 for those who will be incurring a lodging cost): *Check (payable to: All Saints' Episcopal Church)On-line Payment by Credit CardPlease add $10 to your payment if you would like to pay by credit cardSubmit
