Quaker Mystical Experience: Science, Sharing, and Vision
January 27-29, IN PERSON at QUAKER CENTER with Don McCormick and Dorothy Henderson

Friends, space is full for this program! We still have spots available for commuters (people who will attend the program but not spend the night at Quaker Center) and campers.
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Email *
Full name: First, Last (name you prefer to be called) *
Pronouns
Phone number *
Mailing Address, including Zip code
Quaker Meeting affiliation, if any
I am comfortable sharing the following information with our fellow participants: *
Required
I am fully vaccinated against COVID. *
Will you be coming with your family members? If so please us know their names and ages. 
Are you okay sharing a room with one other person? *
Are there mobility concerns we should be aware of when making your room assignment? Please explain.
Additional housing concerns/ requests
I have the following food preferences/ sensitivities (all meals are vegetarian; and vegan meals or other needs are generally not a problem - just let us know)! *
Required
How would you like to pay for this program? *
Payment options *
A copy of your responses will be emailed to the address you provided.
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