Chaplaincy Institute Retreats (Registration and Information)

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Chaplaincy Institute Retreats (Registration and Information)Shae Green2022-10-26T18:37:30-07:00

Please click the link below to access the Sample Schedule for ChI Immersion Day. We hope to see you there!

ChI Immersion Day Official Schedule (As of 10.26.2022) 6:30 PM

ChI Immersion Day Registration Form

ChI Virtual Retreat

First Name(Required)

Last Name(Required)

Telephone Number(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Professional Title or Status

Rev.

Minister

Student

Other

If other, please share

Which program did you attend and/or complete? OR Which program are you currently attending?

Class (year)

Electives

Please select one AM session and one PM session

Elective options

Introduction to Psychedelics and Entheogens with Valeria McCarroll (9:30 am - 12:00 PM)

Befriending Bewilderment in your Spiritual Care Practice with Sheikh Perry Pike (9:30 am - 12:00 pm)

Grief and Dementia with Rev. Wanika Stephens (1:30 pm - 4:00 pm)

Symbolism of Colors in Spiritual Traditions with Rev. Lisa Winston (1:30 pm - 4:00 pm)

Selections are limited to one per time slot (am, pm). The descriptions will be posted separately.

Registration Fee

ChI Immersion Day Sliding Fee Amounts (Please see the Green Bottle Sliding Fee Scale -- For Alumni only)(Required)

$250.00

$200.00

$175.00

$150.00

$100.00

$75.00

$50.00

Current Students Only, those paying by check, or those giving through give lively below in the form of a donation

**Please do not click this field if you are a current student. If you are a student and you accidentally click this, please select the 0.00 student option, thank you. If you are not paying through Paypal, rather giving through give lively, please select that option.

Payment Method

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Total

If you are paying by check, please mail it to this address: 9450 SW GEMINI DR PMB 27853 BEAVERTON OR 97008-7105 and type the word "Check" in the box below along with the amount.

Date

MM slash DD slash YYYY

Optional Donations or Alumni Sponsorship

Thank you for completing this form

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