S-Anon Registration Form (Paypal)

S-Anon Registration Form for the NW Regional Retreat at Aldersgate

September 18-20, 2026
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
MaleFemale
Willing to be of service at the retreat?Wanting to participate in the variety show?Available to sponsor?Looking for a sponsor?Also a member of the SA fellowship?
Gluten FreeDairy FreeNut AllergyVegetarianVegan
All registrations include 5 meals except Saturday only, which includes 3 meals. All private cabins and lodging include linens. Please select one lodging choice only. Each option is per person. Each individual registers seperately.
Yes
Requested Roommate
Payments are processed through Paypal. We do not store the Payment card or address information.
Registration Types*
prevnext( X )
Private Lodging w/ Meals
Private with in-suite, private bathroom. 2-3 people per room. Linens/towels included.

$260.00



Cabin lodging w/ Meals
Semi-private with detached, shared bathrooms; one women’s and one men’s. Linens/towels included

$225.00



RV or Tent w/Meals
$140.00



No Lodging w/Meals
$140.00



Saturday Only w/Meals
$75.00



Total

$0.00

Payment Methods

Debit or Credit Card

S-Anon Registration Form for the NW Regional Retreat at Aldersgate