2019 Aware Peterborough Form
This year registrations can be submitted both online and offline.
Please register early as accommodations are limited and offered on a first come, first serve basis. Cheques & e-transfers
must be received no later than April 6, 2019. Early Bird must be received by March 1, 2019.

Note: If you are applying for someone without an e-mail address please use your email address to receive confirmation.

*
Your answer
Email Address *
Your answer
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Telephone *
Your answer
Parish *
Your answer
Preferred roommate(s): (Please indicate full name and parish if the person is not in your parish) *
Your answer
Special Needs
We do our very best to make the weekend an enjoyable experience for everyone. Please help us out by letting us know if you have special requirements - i.e. special dietary (diabetic, vegetarian) anaphylactic or airborne allergies, and/or mobility requirements. Please indicate if you carry an epi pen and for what reason.
Do you have any special needs *
If yes please fill in your requirements. If no enter N/A *
Your answer
Emergency Contact Info
In case of an emergency who would you like us to contact.
Please list their name and phone number *
Your answer
Is this your first Aware *
If not would you like to be a Small Group Facilitator? *
Would you like to be a prayer support for small groups? *
If you would like to host a workshop please provide the name of your workshop and a short description.
Your answer
Will your church be willing to accept a banner? *
Registration Fees
Early Bird (Before March 1, 2019): $265
After March 1: $280
Payments must be received by April 6th. e-Transfers must be received within 24 hours of application
Please select your payment option *
e-transfer to jennibailey@outlook.com within 24 hours of submitting your application.
There is a password: The question is: What is the name of the conference you are attending (you are going to have to enter this question in)
The answer is AWARE.

Mail Payment indicating your Parish and email on the Memo line to:
AWARE Peterborough
c/o Debbie Irwin
11 Charles St., Cobourg ON K9A 2T4 or
Fax to 905-372-9439
BURSARIES
AWARE has a bursary fund available to anyone who needs to attend the weekend to help them in their spiritual growth but doesn't have the financial means. Our hope is that ladies whom benefit from the bursary will in the future, be able to sponsor themselves in coming to AWARE.

Applications are processed on a first come basis and at full price. Ideally 1/3 is paid by the person attending, 1/3 is paid by the church and 1/3 is paid by AWARE. However every application is reviewed by the Bursary Committee in strictest confidence and considered on an individual basis. A form must be filled out for each bursary (these are not automatic).
Please submit by March 1st to Nancy Perrault, Co-Chair.
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