Moving Well Through Midlife & Beyond

Welcome! We’re glad you’ll be joining us! Please enter your information below to begin your registration.

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1 Your Information

2 Program Donation

	$ The suggested amount is $15.00. You can enter any amount or leave it empty.

3 Optional Contributions

The following items are completely optional. Select any that you would like to add to your registration, or simply continue without making a selection.

Additional Ministry Support

If you feel called to support this ministry further, you're welcome to make an additional contribution. Your gifts help us continue offering meaningful programs and offerings like this one.

$5.00

Select quantity

Additional Ministry Support

If you feel called to support this ministry further, you're welcome to make an additional contribution. Your gifts help us continue offering meaningful programs and offerings like this one.

$10.00

Select quantity

Additional Ministry Support

If you feel called to support this ministry further, you're welcome to make an additional contribution. Your gifts help us continue offering meaningful programs and offerings like this one.

$15.00

Select quantity

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4 About Your Visit

Cell Phone *
Will this be your first visit to St. Mary-on-the-Lake? *	Yes No
Will you need an accessible parking spot?	Yes No There are a limited number of accessible parking spaces near the Peace & Spirituality Center. While unfortunately cannot guarantee the availability, we recommend that guests needing accessible parking let staff know as soon as possible.
Retreat & Event Guest Agreement and Liability Waiver *	I acknowledge I have read and agree to the Retreat & Event Guest Agreement and Liability WaiverPlease read and agree to the Retreat & Event Guest Agreement and Liability Waiver
How did you hear about us?
Email Newsletter	Please send me the email newsletter

5 Complete Your Registration

If you entered a donation or selected any optional items above, you may complete your payment below. If you did not select a contribution, simply continue to complete your registration. We’re glad you’ll be joining us!

Sub Total	$0

Donations	$0

Taxes	$0

20% Deposit	$0

Due Now	$0 $0

Remaining Balance	$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

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