Wisdom House: Registration Form

Wisdom House
Registration Form
229 East Litchfield Road Litchfield, CT 06759
Office: 860-567-3163 Fax: 860-567-3166

www.wisdomhouse.org

Registering for:

Contemplating the Holy in All of Life: A Gift from the Celtic Tradition
Program : #GR08

Please print this registration form and include payment where applicable.

Organization	or
Contact Name
Email Address
Street Address
City
State
Zip Code
Phone
Fax

Accommodations requested: (where applicable)	__Shared Room __Private Room __Room with bath


Deposit (non-refundable) enclosed ____________________
Full payment enclosed _____________________________