THE SACRED WALK DAY RETREAT Registration Form

THE SACRED WALK, A DAY RETREAT Registration Form
Your Name*

First NameLast Name
Your E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Phone Type*

CellHome / LandlineOther
Is texting ok?*

It's preferredCalls or texts are fineNo, Please call
Please select which dates you would like to attend:*

Saturday, July 15, 2023 at 9:00amSaturday, August 19, 2023 at 9:00am
Select Your Retreat Date and Desired Payment Channel (check the box and number of attendees). Payments will be made externally and not in this form. See below for information on how to pay.*
prevnext( X )
July 15 || Payment via Zelle
$88.00 Number of attendees
Item subtotal:$0.00



July 15 || Payment via PayPalPrice reflects higher transaction fees charged by PayPal
$92.00 Number of attendees
Item subtotal:$0.00



AUGUST 19 || Payment via Zelle
$88.00 Number of attendees



AUGUST 19 || Payment via PayPalPrice reflects higher transaction fees charged by PayPal
$92.00 Number of attendees
Item subtotal:$0.00



Total

$0.00
PAYMENT INSTRUCTIONS:

(It is best to screenshot all of this information so that you have access to it after submitting)

Please pay the above total amount to Kiel Gerhard at:

Zelle- Enter phone number 856-491-6422

PayPal- Enter email kiel82nj@gmail.com
AND INCLUDE THIS UNIQUE IDENTIFYING NUMBER IN THE MEMO OF YOUR PAYMENT SO WE CAN MATCH YOU TO THAT PAYMENT**
CANCELATION / REFUND POLICY:
JULY EVENT-
- Cancel by Thursday, July 13 at NOON - FULL REFUND (minus any transaction fees)
- Thursday, July 13, 2023 12:01PM and after- **Nonrefundable**
AUGUST EVENT-
- Cancel by Wednesday, August 16, 2023 at NOON - FULL REFUND (minus any transaction fees)
- Wednesday, August 16, 2023 12:01PM and after- **Nonrefundable**
** REFUNDS WILL BE SUBMITTED WITHIN 48hrs OF CANCELATION. PLEASE ALLOW PROCESSING TIME FOR THE PAYMENT CHANNEL AND YOUR BANK
Name of Additional Attendees

(LEAVE BLANK IF THERE ARE NONE)
Name of Additional Attendees

First NameLast Name
Name of Additional Attendees

First NameLast Name
Name of Additional Attendees

First NameLast Name
Name of Additional Attendees

First NameLast Name
If you have comments or questions, enter them here
Should be Empty:

THE SACRED WALK, A DAY RETREAT Registration Form

Name of Additional Attendees