Lenten Reflection Day – Small Lights, Deep Faith. Dealing with Life’s Uncertainty

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1 Welcome

2 Optional Items

Buffet Lunch in the Sisters' Dining Room

$25.00

Lunch (CSJP sister/associate)

$0.00

Ministry Support

We invite you to support the Peace & Spirituality Center with a donation, if you're able. Your gift helps us continue offering meaningful programs like this one. That said, please don’t let cost be a barrier—you are warmly welcome to participate whether or not you’re able to donate at this time.

$10.00

Ministry Support

$15.00

Ministry Support

If you feel called to support this ministry further, you're welcome to make an additional contribution.

$30.00

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3 Participant Info

Address
Address 2
City
State/Prov.
Zip/Postal
Country
Cell Phone *
Dietary Needs
Dietary Notes	Our kitchen may not have the capacity to offer specialized meals beyond those listed above. However, we will do our best to honor any special dietary notes you share here.
Allergen Severity	If you have listed an allergen, please let us know its severity.
How did you hear about us?
Liability Waiver	I have read and understand this agreement and realize it relates to surrendering and releasing valuable legal rights and I do so freely and voluntarily.Please read the Liability Waiver.
Picture Release Form	Yes, I do consent No, I do not consent. N/A - Attending remotely Please read the Picture Release Form.
By typing my name and the date below, I acknowledge that this electronic signature is the legal equivalent of my handwritten signature.	Please type your name and the date here.
Email Newsletter	Please send me the email newsletter
Will you be joining the retreat in person or via livestreaming? *	In person Livestreaming

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4 Donate

$	Donations All donations assist in covering our costs and in making affordable retreats and programs possible.

5 Payment

Sub Total	$0

Donations	$0

Taxes	$0

20% Deposit	$0

Due Now	$0 $0

Choose Payment Option

	Your registration/transaction will be complete once we receive your payment. Please make checks payable to Sisters of St. Joseph of Peace and mail them to: Sisters of St. Joseph of Peace, Attn: Peace & Spirituality Center, PO Box 248, Bellevue, WA 98009. If paying with cash, please provide the exact amount. Click on the button below and these instructions will be repeated on the next page.

First Name
Last Name
Card Number *
Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card