Registration Form for Days of Prayer and Intensive/Post-Intensive Retreats
Name:		Address:
City:		State:
Daytime phone:		Evening phone:
Cell phone:		E-mail
Event you are registering for:
Date of event:		Location:
Check payment type:	Check enclosed Check/cash on-site (not available for retreats) Partial scholarship requested (Amount: $________) (please attach letter explaining need) Full scholarship requested (please attach letter explaining need)
Please mail this form to the contact person listed for the selected event.