Registration for The Way of Discernment Retreat

Mail this registration form by May 15, 2010, with full fee or $100 deposit to:

Carol Saysette, 193 W. Blythedale Avenue, Mill Valley, CA 94941

Checks should be made out to PCSF.

PROGRAM:  THE WAY OF DISCERNMENT RETREAT, JUNE 25-27, 2010

NAME(s) __________________________ EMAIL __________________________

STREET ADDRESS __________________________________________________

CITY ________________________ STATE ______ ZIP CODE ________________

PHONE(s) _________________________________________________________

HOUSING PREFERENCE (circle one):  SINGLE ($310);  DOUBLE ($260)

FEE OR DEPOSIT, AMOUNT ENCLOSED $__________

DONATION TO THE SCHOLARSHIP FUND, AMOUNT ENCLOSED $_________