ALCRC-2019 Great Hymns of the Faith Series

We are so glad you are interested in registering for the Great Hymns of the Faith led by Rev. Laura Jaquith Bartlett. 

If you need any assistance in registering or have any questions, please contact Collins Retreat Center at 503-637-6411 or office@collinsretreatcenter.org.  

You may use this form to register a group of people or just a single person.  

Who is filling out this form?
First Name
Last Name
Email
Who are the participants?
*First Name *Last Name Address 1 City State Zip *Phone *Email
*Preferred FIRST name for name tag

Please type your FIRST name only, using appropriate upper and lower case letters. Name tags for your event will be generated directly from this entry, so please just type the FIRST name that you prefer people to use.

*Choose your session:

Save money and buy a Season Ticket, good for all 3 sesssions.  

Season Ticket (all 3 Great Hymns of the Faith events) ($55) 49 available
May 16, 2019 ($20) 42 available
August 22, 2019 ($20) 45 available
October 17, 2019 ($20) 45 available
Season Ticket (all 3 Great Hymns of the Faith events): There are only 49 available
May 16, 2019: There are only 42 available
August 22, 2019: There are only 45 available
October 17, 2019: There are only 45 available
*Do you have any specific dietary needs? (if yes, see below)
Yes
No
What are your specific dietary needs?

We strive to meet all dietary needs of our guests as part of our ministry of hospitality. Our food is cooked from scratch, using whole food ingredients featuring whole grains and plenty of fresh fruits and vegetables. We serve family style--there is no buffet line or cafeteria option. We are happy to accommodate your specific needs, but we need you to let us know in advance how we can best serve you.

Allergies or Sensitivities (please explain below)
Pescatarian (eats fish and seafood)
Vegetarian (eats eggs and dairy)
Vegan
Gluten-Free
Dairy-Free (please explain below)
No refined sugar
Other needs

Please note that we do not have emergency treatment for life-threatening allergies on site.

You may contact our office (503-637-6411) to discuss emergency medical treatment possibilities. 

*Description of allergies or sensitivities
Dairy (please specify)
Eggs
Gluten
Nightshades
Peanut
Shellfish
Soy
Tree nuts (please specify)
Wheat
Other (please specify)
*Is this an airborne allergy?
Yes
No
Tree Nuts

Our kitchen considers the following tree nuts:   

  • almonds
  • brazil nuts
  • cashews
  • chestnuts
  • filberts (also known as hazelnuts)
  • macadamia nuts
  • pecans
  • pistachios
  • pine nuts
  • sheanuts
  • walnuts

 

I cannot eat any of these nuts
I cannot eat some of those nuts (please list below)
I also cannot eat the following nuts:
I cannot eat the following tree nuts
*Do you eat honey?
Yes
No
*Do you eat butter?
Yes
No
*Do you eat sheep or goat dairy?
Yes
No
Please describe further if needed

If appropriate, please give us more detail about how to meet your dietary needs. 

Church Affiliation

Please indicate if you have an affiliation with a denomination.

Please provide the name of your church
Other Considerations?

Indicate below if there is anything else we need to know in order to prepare for your arrival--for instance, you are bringing a nursing infant, or you use a wheelchair, or you need to bring medical equipment with you. It is easier for us to accommodate your needs if we know in advance. Thank you!

Optional Donation to Alton L. Collins Retreat Center

If you would like to make a donation to the Collins Retreat Center, please enter the amount of your donation. Any amount is acceptable--thank you for your generous support!

$
Only number values are allowed
*I understand that my registration form is not complete unless I see a confirmation screen and receive a confirmation email.

If you have difficulty completing your registration form, please contact our registrar at office@collinsretreatcenter.org or call the office at 503-637-6411. If you do not receive a confirmation, you are not registered for this event.

Yes
No
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