SoulCollage® Day: When Irritation Becomes a Pearl

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1 Welcome

2 Price

Please choose the pricing level that best reflects your personal financial situation and comfort level. A price must be selected to register you for this retreat.

If you would like to add-on extra nights, you may do so below. However, to book additional meals for those days you must contact the Registrar, Christine Noelle, at cnoelle@sienaretreatcenter.org or (262) 898-2582.

Add extra nights - $90.00/night: nights before and nights after

Select a price.

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$80.00 – Partner Cost (Reduced fee supported by community contributions)

Guests

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$115.00 – Advocate Cost (Covers baseline costs related to program expenses)

Guests

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$135.00 – Advocate Cost (Covers full program and operational expenses)

Guests

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3 People in your group

Guest 1		First Name* Please do NOT include any prefixes such as Sister/Father or Mr/Ms. You may include a preferred name in another question. Last Name* Email* 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.
Guest 1		First Name* Please do NOT include any prefixes such as Sister/Father or Mr/Ms. You may include a preferred name in another question. Last Name* Email* 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.

After completing this form, emails will be sent to everyone in your group to complete their information.

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4 Participant Info

Preferred Name	Your preferred first name for your name tag
Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
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 (ADA / Accessibility)
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!

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5 Donate

$	Operational Donation Please select an amount if you would like to make an additional donation to support operational expenses for the retreat ministry.
$	Scholarship Fund Donation Please select an amount if you would like to make an additional donation to support the scholarship program.

6 Security Check

Security check

7 Payment

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Choose Payment Option

	To pay with check, please include a note that states which retreat you are paying for and mail to Siena Retreat Center 5637 Erie Street Racine, WI 53402 Your registration will be marked complete upon receipt of payment. Click on the button below and these instructions will be repeated on the next page.

	By submitting payment, you authorize Siena Retreat Center to instruct your financial institution to take payments from your account in accordance with your agreement with Siena Retreat Center.