Joining the River: A Poetry Gathering

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1 Welcome

2 Sliding Scale Price

Kirkridge is moving to a sliding-scale model for retreat registration. When our retreats are accessible across social and economic classes, everyone benefits from the breadth of wisdom in the room.

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$30.00 – I Need a Little Help

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$40.00 – I'll Cover the Cost of My Attendance

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$50.00 – I'll Pay It Forward

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3 People in your group

4 Participant Info

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Gender *	Primarily used to pair roommates when applicable.
Access Needs	In other words, what can we do so that you can show up at your most brilliant and joyful? For example, do you need a room on the same floor as the meeting room because stairs are difficult for you? Do you need access to a bathroom with grab rails, or sign language interpretation? etc
Dietary Needs
Dietary notes
What is your race/ethnicity?	We ask because it helps us ensure a diverse group of participants.
Do you identify as LGBTQ+?
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What age group do you fall under?	18-30 31-40 41-50 51-60 60+
Requested Roommate	Most rooms are double occupancy and depending on attendance you may have a roommate. Do you have someone you would like to room with if possible?
Comments or Other Needs
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5 Your Donations Keep the Lights On

$	General Fund Donations to the General Fund help us to keep the lights on, repair a furnace, or otherwise use resources where and when we need them most.
$	Equity Fund In recognition of the racial wealth gap, our Equity Fund allows us to provide additional scholarship assistance to Black, Indigenous, and People of Color retreatants; partially subsidize retreats for movement organizations led by Black, Indigenous, and People of Color; and make changes to create a more welcoming environment for BIPOC attendees.

6 Payment

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*