Restorative Circles Conference 2019 Registration Form
July 4-7, 2019

At Earthaven Ecovillage, Black Mountain , NC

Name *
Your answer
Email: *
Your answer
Phone: *
Your answer
Where do you live? *
Your answer
What days will you be attending? (Event is Thursday 4th evening -Sunday 7th early afternoon) *
Your answer
What is your experience or interest in Restorative Circles? *
Your answer
Will you be neeing lodging at Earthaven? *
Will you be needing transporation to Earthaven? *
Will you be eating on the meal plan? *
If you are planning to eat any meals on the meal plan, please tell us about your diet. Select all that are relevant. *
Required
Do you plan to have any children accompanying you to the conference? Please leave all details below. *
Your answer
How did you hear about the Conference? *
Payment
Please note that the conference finances are run on financial co-responsibility. The minimum suggested donation per person per day is $25 (not including food or lodging). You may pay for the conference ahead of time via the DONATE button on our webpage (link below), by check, by money order or pay at the conference. You must pay for your food and lodging up front.

https://www.culturesedge.net/rcc-registration
How will you be paying? *
What daily contribution per person are you planning to give? *
Your answer
The completion of this registration form holds my space in the conference, but to secure my food and lodging, I will need to pay for them now. *
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