Clone of Summer 2025 Retreat Registration

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Name* This field is required.
First Name
Last Name
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What pronouns do you use?
he/him
she/her
they/them
Other
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E-mail* This field is required.
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Phone Number
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Is This Your First Retreat?* This field is required.
YesNo
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Number of Previous Retreats:
How many?
How many?
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30+
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I am willing to do service for my fellows by planning and leading a workshop. My preferences in order are:
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Transportation:* This field is required.
I am taking the train and boarding at Grand Central Terminal.
I am taking the train and boarding at Harlem-125th Street.
I am driving.
Other
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I am driving and can take the following number of additional passengers:
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Acknowledgement* This field is required.I acknowledge that SCA, its organizers, and affiliates assume no liability for any injury, loss, or damage related to my participation.
Yes
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Optional Emergency Contact
Full Name
Phone Number
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Payment* This field is required.We deeply appreciate any additional donation you can contribute beyond the standard registration fee.
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My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
Winter 2026 Retreat Full Payment$275 + Online Transaction Fee
$281.50Edit
Back
Reduced Registration Request$195 + Online Transaction Fee
$199.59Edit
Back
I'll add $15 donation to the Scholarship Fund$15 + Online Transaction Fee
$15.65Edit
Back
I'll add $25 donation to the Scholarship Fund$25 + Online Transaction Fee
$25.85Edit
Back
I'll add $50 donation to the Scholarship Fund$50 + Online Transaction Fee
$51.40Edit
Back
I'll add $100 donation to the Scholarship Fund$100 + Online Transaction Fee
$102.50Edit
Back
I'll add $200 donation to the Scholarship Fund$200 + Online Transaction Fund
$204.70Edit
Back
Total cost $0.00
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URGENT!

You selected to contribute a donation to the scholarship fund, but you did not select a Full Payment Registration or Reduced Registration Fee Request.

Please click "PREVIOUS" and return to the previous page. From there, select one of the registration payment options.

Your registration will not be confirmed until this is corrected.
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Any Additional Message for Retreat Committee? (Dietary Restrictions, etc.)Payment follows this page when you click "SUBMIT".
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