Name *

First Name

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Address *

Address 1

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Which Opening to Grace Retreat would you like to register for? *

October 16, 2021: OR

December 4, 2021:

Would you like to participate in this retreat as: *

Full Worker?:

Observer/Intercessor?:

What is your preferred method of payment? *

Credit Card/Paypal (instructions will follow once the Submit button has been clicked):

Check: