| Name: |
___________________________________ |
| Address: |
___________________________________ |
|
___________________________________ |
|
State: _______ Zip: _______________ |
| Phone: |
Home: ________________________ Work: ________________________ Fax: ________________________ |
| E-Mail: |
___________________________________ |
|
|
Please circle the program(s) for which you would like
to register.
|
"Spring Equinox"
3/21/10
:: Cost: Donation according to means |
Summer Solstice "Hurray for Summer"
6/13/10 :: Cost: Donation according to means |
"Climate and Water: Ecological Crisis, Spiritual Challenge"
7/8/10 - 7/11/10 :: Cost: $285 |
"Insight Quest - Listening to Land and Sea"
8/30/10 - 9/2/10 :: Cost: $285 |
Total
Cost: $________________ |
Make checks payable
to: “Stella Maris Retreat Center” |
I have the following
needs:
_____ Room on the
ground
floor _____ Dietary
considerations (please
note) _____________________________ |
Please return completed Registration Form & Payment
to:
Stella Maris Retreat Center WATERSPIRIT 981
Ocean Avenue Elberon, New Jersey 07740
| |