First Unitarian Registration Form
Please email kheintze@firstunitarianportland.org if you need any type of accommodations or are interested in scholarships.

==> PLEASE NOTE: If there is a fee, your registration will not be complete until you have made your payment. <==

After you complete and submit this registration form, you will see a confirmation with instructions on how to make a payment. If there is no fee associated with your event, please disregard the message. In addition, you may consider making a donation to the "Adult Programs Scholarship Fund" if you are able.

Please register only one individual per submission.

Thank you.

First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
REGISTER FOR CLASSES IN THIS SECTION
You may register for up to 4 classes on this form. If you'd like to register for additional classes, please complete another on-line form.

1 - Register me for:
Type Class Code FIRST (if known), then the class title (subtitle not needed).
Your answer
1a - Class Fee (if applicable):
Enter the fee for the above class, which can be found in the church program guide.
Your answer
2 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
Your answer
2a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
Your answer
3 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
Your answer
3a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
Your answer
4 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
Your answer
4a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
Your answer
REGISTER FOR RETREATS IN THIS SECTION
You may register for up to 2 retreats on this form. If you'd like to register for additional retreats, please complete another on-line form.

Cancellations refunded, less $25 deposit, up to two weeks before retreat begins.

1 - Register me for:
Type Retreat Code FIRST, then the retreat title.
Your answer
1a - Retreat Fee:
Enter the fee for the above retreat, which can be found in the church program guide.
Your answer
2 - Register me for:
Type Retreat Code FIRST, then the retreat title.
Your answer
2a - Retreat Fee:
Enter the fee for the above retreat, which can be found in the church program guide.
Your answer
DONATION TO SCHOLARSHIP FUND
We hope you will consider making a donation to the "Adult Programs Scholarship Fund." If you're able to do this, please complete the following item with the amount you're donating. Thank you!

Yes, I'd like to donate to the scholarship fund in the amount of:
Your answer
Registration total + amount of scholarship donation, if applicable.
Please combine FEES for classes and retreats above, and add in the amount you donated to the scholarship fund, if any.

=> PLEASE NOTE: Your registration is not complete until you have made your payment. Instructions on how to pay will be included in your confirmation after you press "Submit."<=

TOTAL *
Be sure to make a note of this total for your records!
Your answer
Submit
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