Clone of Facilitator Training

Day Spring Episcopal Conference Center - Diocese of Southwest Florida

Facilitator Training Registration Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Name on Name tag, i.e. nick name
Special Dietary needs, i.e. Gluten Free
Accommodations for special needs, i.e. unable to use stairs, etc
Name of your church or Faith Community
Names of those attending the training with you from your Faith Community:
Clergy Person responsible for Pastoral Care in your faith community:
Pastoral Care Experience/training
Have you participated in the Eight Week Workshops?

Training Registraiton Fees, no accomondations:

Early - 30 days prior to training
Single	$375
2+ from a faith community	$275
Standard - 29-15 days prior to training
Single	$400
2 + from a faith community	$350
Late - 14 -7 days prior to training
Standard	$500
2+ from a faith community	$450

We are excited that the training is at DaySpring Conference center and that participants may stay on site. For more information please visit: dayspringfl.org/stay
Will you be staying at the Conference Center? (additional fee)

YesNo
If you are staying at the conference center, please add the following nightly rates to your training registration fee:

Wednesday Night:
- Private Room- $116.30
- Semi-Private Room - $80.30
Thursday and Friday Night (nighty rate):
- Private Room - $105.30
- Semi-Private Room - $69.30

Please indicate nights you are staying and the type of room

Rows	Private Room	Semi- Private Room
Wednesday Night
Thursday Night
Friday Night

If you are sharing a room, please indicate the name of the person who you are sharing the room:
You are considered registered for the school when you form and payment is recieved in our office.

Payment by check or Zelle is perferred. Please contact Catherine Gilbert at cgilbert@mournerspath.com for payment by credit card. A credit card processing fee of 3% will be added to all registrations paid by credit card.

Mail checks to:

Walking the Mourner's Path, c/o Saint Anthony on the Desert, 12990 E Shea Blvd., Scottsdale AZ 85259

Zelle payments:

Use cgilbert@mournerspath.com as the receiver. Note, our account is a sub-account of Saint Anthony on the Desert and the church name will be on the Zelle payment.
Facilitator Training Policies:

Refunds will be issued up to 15 prior to the start of training.

Faith communities may substitute someone in place of someone unable to attend. Please notify our office as soon as a substitue is made.

It is recommended not to make any non-refundable travel arrangement for training until the training as been confirmed. Confirmation for the training to be held as scheduled will be made 30 days prior to the start of training.

In order to be able to facilitate workshops, it is expected that you attend the entire training. Any deviations from this policy need to be approved by Catherine Gilbert, Program Director. in advance. Special consideration will be made for emergencies at the discretion of the Instructor. A virtal follow up may be required.
Any questions? Please contact Catherine Gilbert at cgilbert@mournerspath.com
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Day Spring Episcopal Conference Center - Diocese of Southwest Florida