Builders for Social Justice

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* These fields are required

1 Welcome

2 People in your group

3 Participant Info

Address
Address 2
City
State/Prov.
Zip/Postal
Country
Phone
Please select the option that broadly characterizes your diet.	There is a field below where you can share specific dietary needs, such as allergies & intolerances or variations such as pescatarian (eats fish but no other meat) or no pork/red meat.
Please share any food allergies or special dietary needs you may have. (Leave blank if none)	Please note that we make every effort to accommodate each person's dietary needs but highly specific diets may be outside of our ability to serve. We are not an allergy-safe kitchen. We have communal space on-site if you need to bring your own food items.
Special Needs (Accessibility / ADA)
Emergency Contact	Please list the name and phone number for someone who we can contact in case of emergency during your time on retreat.
How did you hear about this retreat?
Would you like to receive the e-newsletter from Siena Retreat Center?	Yes! Please add me to the email list!

5 Optional Demographic Information

6 Donate

7 Security Check