ROOTED REGISTRATION -- Winter 2024 Session

To register for Rooted, please fill out this form and click submit.

SUNDAYS | 11:30 - 2:00 PM

SESSION CHOICE:

*

Please select one option.

Sundays: 11:30 - 2:00 pm Another day/time TBD

Your Info

Name

*

Email

*

Mobile

*

Gender

*

Please select one option.

Male Female

Will you need childcare?

*

Please select all that apply.

Yes No

If yes, list children's agess:

Comments

If you would like to be in a group with a spouse or friend, please provide their first & last name: (NOTE: Be sure to have your spouse and friends complete a separate registration form.)

We understand that Rooted is a large time commitment and we
believe it is worth every ounce of investment in the entire process.
If you know in advance you will miss more than two meetings,
we recommend that you wait until the next session of Rooted
when you can engage in the full experience. Because this is
a community experience, we ask that every participant commits
to honoring their group by being present for every meeting.

Please register each person separately

Payment

Do you need to request a scholarship?

Please select all that apply.

Yes No

Payment Info

Per Person, Rooted Fee ($50) I'll submit cash or check ($0) I need a scholarship ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

To register for Rooted, please fill out this form and click submit.

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