ALCRC-17-09-12 Time to Sow, Sept. 12-15, 2017

*First Name
*Last Name
*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.

*Lodging Choice

Choose double or single occupancy. The fee covers three nights' lodging, 10 meals, and all program costs, including a large binder of worship/preaching resources and worksheets.

Double room ($399)
Single room ($475)
Double room: There are only 8 available
Single room: There are only 7 available
Roommate Request

If you have a roommate preference, please list that person's name here.

*Do you have any specific dietary needs? (if yes, see below)
Yes
No
Dietary Needs

Please let us know about any specific dietary needs. Our staff is proficient in providing for diabetic, vegetarian, gluten-free, lactose intolerant and vegan diets, and we also have experience in working with many other dietary needs. If you make exceptions in your diet category (for example, you consider yourself "dairy-free" but you do eat butter) please let us know. We strive to meet all dietary needs of our guests as part of our ministry of hospitality.

Vegetarian or Pescatarian (indicate below)
Vegan
Gluten-Free
Dairy-Free (please explain below)
Other (please indicate below)
*Do you eat fish and other seafood?
Yes
No
*Do you eat butter?
Yes
No
Description of any specific needs:

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

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!

Church Affiliation

Please indicate if you have an affiliation with a denomination.

Episcopal Churches

If you are affiliated with an Episcopal Church, please indicate which church.

United Methodist Churches

If you are affiliated with a United Methodist Church, please indicate which church.

Optional Donation to ALCRC ($1)

If you would like to make a donation to Alton L. Collins Retreat Center, please enter the amount of your donation - you can indicate any amount in the field, but do not include the dollar sign ($). Thank you!

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 program director at alcollinsprogramdirector@gmail.com or call 503-637-6411. If you do not receive a confirmation, you are not registered for this event.

Yes
No
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