First Unitarian Registration Form
**********UPDATE: The Yoga Retreat is now full. If you would like to be added to the wait list, please email kheintze@firstunitarianportland.org


Please register only one individual per submission.

After you complete and submit this registration form, you will see a confirmation with instructions on how to make a payment.
==> PLEASE NOTE:  If there is a fee, your registration will not be complete until you have made your payment. <==

Questions? Email, kheintze@firstunitarianportland.org 

Thank you.

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First Name *
Last Name *
Phone *
Street Address *
City *
State *
Zip *
Email *
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).
1a - Class Fee (if applicable):
Enter the fee for the above class, which can be found in the church program guide.
2 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
2a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
3 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
3a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
4 - Register me for:
Type Class Code FIRST, then the class title (subtitle not needed).
4a - Class Fee:
Enter the fee for the above class, which can be found in the church program guide.
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.
1a - Retreat Fee:
Enter the fee for the above retreat, which can be found in the church program guide.
2 - Register me for:
Type Retreat Code  FIRST, then the retreat title.
2a - Retreat Fee:
Enter the fee for the above retreat, which can be found in the church program guide.
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:
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!
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