Zine-Making Retreat

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1 Welcome

2 Price

Add extra nights: nights before and nights after

Select an option*

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Camping

This covers the cost of a camp site, meals and program. Bring your own camping equipment. Shared bathrooms are available...

Number of Guests:
In rooms

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$315

$315

$315
Camping

This covers the cost of a camp site, meals and program. Bring your own camping equipment. Shared bathrooms are available in the retreat building.

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Commuter

This covers the cost of all your meals and program.

Guests in Room:
In rooms

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$265

$265

$265
Commuter
This covers the cost of all your meals and program.

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Farmhouse Private Room

This is a single room with either a twin or double bed. Bathrooms are shared down the hallway.

Guests in Room:
In rooms

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$525

$525

$525
Farmhouse Private Room
This is a single room with either a twin or double bed. Bathrooms are shared down the hallway.

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Farmhouse Shared Room

A shared room with two twin beds. Shared bathrooms are down the hallway.

Number of Guests:
In rooms

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$425

$425

$425
Farmhouse Shared Room
A shared room with two twin beds. Shared bathrooms are down the hallway.

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3 People in your group

4 Sliding-Scale Options

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. Please pay at the highest rate you can afford. The base rate is the lowest we can offer and still break even; many will not be able to pay it, so by selecting to add an optional $100 to your base cost you enable others to come. If the base rate is not accessible to you, please use the -$100 option to take that amount off of your base cost.

I'll Cover the Cost of My Attendance

Selecting this option doesn't change anything; you just pay the base rate, which covers the cost of your attendance.

$0.00

I Can Pay It Forward (+$100)

Use this option if you are in a place to contribute more than the base cost of your attendance. Thank you for helping others attend!

$100.00

Select quantity

I Need a Little Help (-$100)

We want attendance at these retreats to be open to everyone. Use this option to take $100 off the base price.

-$100.00

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5 Participant Info

Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
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
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?
Pledge to Care *	I commit to practicing community care by testing negative for COVID before coming to Kirkridge and adhering to the Pledge to Care found at the link below.Pledge to Care
How did you get connected to Kirkridge?
What is your race/ethnicity?	We ask because it helps us ensure a diverse group of participants.
Do you identify as LGBTQ+?
Do you identify as a person with a disability?
What age group do you fall under?	18-30 31-40 41-50 51-60 60+
Comments or Other Needs
Email newsletter	Please send me the email newsletter

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6 Help Sustain Kirkridge

$	General Fund Donations to the General Fund help us tend to these buildings and land, pay our incredible staff, and offer abundant and generous hospitality.
$	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.

7 Security Check

Security check

8 Payment

Discount code

3% Payment processing fee (for credit card only; will not apply if you pay by bank transfer at the next step)	$0

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0
	$0 next payment date * last payment amount will be $0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

Remaining Balance	$0

Choose Payment Option

	Your registration will be complete once we receive your payment. Please make checks out to: "Kirkridge Retreat and Study Center" and mail to 2495 Fox Gap Rd, Bangor, PA 18013. Click on the button below and these instructions will be repeated on the next page.

	By submitting payment, you authorize Kirkridge to instruct your financial institution to take payments from your account in accordance with your agreement with Kirkridge.

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

1 Welcome

2 Price

Select an option*

Camping

Commuter

Farmhouse Private Room

Farmhouse Shared Room

3 People in your group

4 Sliding-Scale Options

5 Participant Info

6 Help Sustain Kirkridge

7 Security Check

8 Payment