IMPORTANT:
1. Register early -- deadline is Friday, May 23. All registrations are subject to acceptance and to space limitations. $10 late fee.
2. Non-members may attend; however because of space considerations, preference must be given to SEF Members and their parties.
3. Make checks payable to Society of Elder Faiths. Returned checks will be assessed a fee of $25.
4. Registration must be prepaid, and there will be no onsite registration.
5. Sorry, but we cannot allow pets.


Name_______________________________________________________________________________________

Address_____________________________________________________________________________________

City________________________________________________State______________Zip____________________

Telephone (______)______________________________Email_________________________________________


PLEASE REGISTER ME AS (check one only - separate form is required for each person!)
Weekend Participant:

_____ Adult at $105, SEF Members $95.

Satruday Participant:
Day registration: for Saturday only (includes workshops, lunch, ritual, and feast, no overnight lodging)

_____ Adult at $45, SEF Members $40.



I have the following food preferences/needs:
_____ Vegan
_____ Lacto-Ovo Vegetarian
_____ Omnivore
_____ Eat poultry but not red meat
_____ Militant carnivore
_____ Other_________________________________________________________________________________



I have the following special needs (food allergies, access to handicap facilities, etc.):

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

I would like to give a workshop on the following topic:_____________________________________

____________________________________________________________________________________________


I am with the _______________________________________party;

* I realize, however, that sleeping spaces will be assigned on a "first-come, first-served" basis.

* I agree to abide by the Retreat's designation of late-night quiet time.

Conditions for Registration and Waiver of Liability
The Society of Elder Faiths reserves the right to revoke admissions without refund on an individual basis if necessary due to dangerous or disruptive behavior, or failure to abide by gathering policies. I agree to hold harmless the Society of Elder Faiths, and the site owners and staff from any responsibility for personal injury or loss or damage to personal property incurred by me. Finally, I, the undersigned, have read, understood, and agree to these conditions. (You must complete both lines below.)


Legal name printed____________________________________________________________________
                                                 registrant




Signature: ________________________________________________ Date signed: ________________