Earth Day Sacred Fire Circle 2008
Online Registration Form


Use the Secure Online Registration Form below.
Secure Transaction Guarantee: The online registration and payment process is secure. Your credit card details are collected using an SSL secured server.

Check this box to register adult listed below
    (Adults are ages 18 and older; $25/each)
Check this box to register adult listed below
    (Adults are ages 18 and older; $25/each)
Legal Name:
Legal Name:
Address:
Address:
City, State, Zip:
City, State, Zip:
Phone Number:
Phone Number:
Email:
Email:
 
Teens attending ($25/each)
Mature teens with adult supervision are welcome to attend the Fire Circle. Teens are expected to participate in all aspects of the Sacred Fire Circle just as adults.
Check this box to register the minor listed below
Name:   Age:   Legal Parent/Guardian::  
Check this box to register the minor listed below
Name:   Age:   Legal Parent/Guardian::
Check this box to register the minor listed below
Name:   Age:   Legal Parent/Guardian::
Donate to the Circle Sanctuary Earth Day Festival
Donations are not required, but greatly appreciated.
Please check this box if you would like to donate to the Circle Sanctuary Earth Day Festival
Amount you wish to donate:  
*Please enter the amount you wish to donate, without the dollar sign ($), in the box below (e.g., if you wish to donate $10.00, please enter 10.00).
Please check your dietary preference:
Omnivorous
Vegan
Vegetarian
 
Describe any special needs, disabilities, medical conditions, or other special situations that we may need to be aware of while you are visiting Circle Sanctuary.
 
If you want to volunteer some time to staff the event, please include some ideas on how you would like to help and include your name, number, and e-mail. Circle staff will contact you if the need for help arises.

Please send me a map with directions to Circle Sanctuary nature preserve.

May be able to provide a ride from my area to Circle. Permission granted to give out my contact information to ride seekers.