2024 Atlanta 12-Step CP Intro Workshop Registration Form

2024 Atlanta 12-Step CP Intro Workshop Registration (1)

Please complete this form by August 2nd, 2024 to reserve your place at the CP 12 STEP OUTREACH 2024 Atlanta 12-Step CP Intro Workshop.There is no charge for this event, but we welcome donations (suggested $10-25) if you are able. Just click the optional PAYMENT button on the 12 Step Outreach homepage. https://cp12stepoutreach.org

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Email Confirm Email
Phone
Are you active in 12 step program?
Have you attended a CP introductory workshop?
Do you have a Centering Prayer Practice?
Donation
Payment (optional)
Payments to help cover Intro Workshop costs are appreciated but not required. You can pay here via PayPal, or if you prefer to send a check, please make it to 12 Step Outreach and mail it to JoAnn Sturm at 7419 Stratford Ave. St. Louis MO 63130.MULTIPLE CLICKS ON SUBMIT WILL RESULT IN AN ERROR MESSAGE. You will receive an email confirmation within 24 hours. Thanks!
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2024 Atlanta 12-Step CP Intro Workshop Registration (1)

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