Rooting in the Sacred | Registration Form (Three Payments)

Thank you for signing up for Rooting in the Sacred. This registration form is for individuals signing up to make three payments. If you are seeking to pay in full with one payment, please register here.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Pronoun (they/them, she/her, he/him, etc.)*

Which of the following do you identify as:*

BIPOC (Black, Indigenous, People of Color)WhiteLGBTQIA+

Organization or Affiliation (if relevant):

How did you hear about Rooting in the Sacred?*

What calls you to participate in Rooting in the Sacred? Why does this matter to you?*

Do you have any accessibility needs that we should know about to support your participation?

THREE PAYMENTS REGISTRATION PRICES*

Option 1 - A

$600 for each three months

Option 1 - B

$500 for each three months

Option 1 - C

$433 for each three months

Option 2 - A

$366 for each three months

Option 2 - B

$290 for each three months

Option 2 - C

$223 for each three months

Enter coupon

Email

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

For those who have been more advantaged and have greater access to financial means, contributing at the higher end of the sliding scale is one meaningful way to support repair and redistribution, along with the healing and thriving of us all.

This Journey is a gift that has been created by a deep labor of love and commitment by a mostly volunteer team. We appreciate your reciprocity by contributing as fully as you are able to so that we can continue to build a world together where we all belong and thrive.

Your first payment will be processed when you submit your registration, your second payment will be processed three months after your registration date, and your final payment will be processed six months after your registration date.

We're grateful for you signing up. Please stay tuned for further details from our team. Questions and support needs can be directed to: team@thrivenetwork.org

REGISTRATION FORM