PRINT this page, complete the form and mail with payment to one of the addresses at the bottom of the page.
RETREAT REGISTRATION: I am registering for the retreat at (Location and Date): _________________________
Are you attending the Rhode Island retreat? Sunday 6 PM arrival is optional for those with long travels who
may arrive by 9 AM on Monday. Check Here ______ if you will arrive for the RI retreat on Sunday at 6 PM.
. Check Here ______ if you will arrive for the RI retreat on Monday at 9 AM.
Phone: _____________________ Cell:_______________________ Email: ________________________________________
Special food or health requirements/needs/allergies: ____________________________________________________
Special needs or expectations:__________________________________________________________________________
____ I understand that Brother and Sisters of the Way is a community with year-long privileges and expectations!
Your Sponsor (if this is your first retreat) ________________________________________________________________
Emergency Contact: Name:________________________________________ Phone/Cell _________________________
2019 Dues: Regular member dues $20 ________
. First Timers exempt
. Not required of members 75 and over who choose to be Emeritus member.
. Past Dues (Please see your BSOW 2019 Update) ________
Retreat Fee: (pick one from the list below and enter the amount here) ________
. First Timer (for any retreat) $50
. Second and following retreats:
. _____ Rhode Island $150
. _____ Maine (1st & 2nd week) $150
. _____ Ohio $250
. _____ West Virginia $225
. Please mail completed REGISTRATION together with a check made payable to BSOW to….
. For Maine & RI: Bro. David Andrews, 281 Washington St. Ext., Middlebury, VT 05753 Tel. 802-388-4894
. For Ohio: Bro. Jerry Fritz 225 West Main St., Andover, OH 44003, Tel. 508-627-0970
. For West Virginia: Bro. Robert Rock, 7401 Willow Rd., #228, Frederick, MD 21702