Thursday, JUNE 23, 2022

Day(s)

Hour(s)

Minute(s)

Second(s)

National Mothers Leaders Workshop 2022

Registration Form

PERSONAL INFORMATION

Name

Address

City

State/Province

Zip/Postal

Phone

Diet

If you are planning to room with someone in particular, mention the name here. If it is necessary that you stay in a single room, contact Ruth Bruckbauer, directly (262-522-4300).

Notice that your registration will only go through once you click SUBMIT. If you want to pay with PayPal, the payment can only be processed by accessing the PAYPAL BUTTON separately on this page.

Make checks out to SCHOENSTATT with memo June 2022 NMLW

(If you pay with check, do not add any fee)

$20.00 non-refundable deposit required by May 15, 2022
The prices below include the registration fee and meals from supper on Thursday, June 23 until noon meal on Sunday, June 26. A surcharge will be added for credit card and PayPal payments.

$265.00 (+ $9.00 Credit Card fee or $5.00 PayPal fee) = Full weekend (Single rooms – limited number, supper Thursday, June 23 – noon meal on Sunday, June 26)

$235.00 (+ $7.50 Credit Card fee or $5.00 PayPal fee) = Full Weekend (Shared double room, supper Thursday, June 23 – noon meal on Sunday, June 26)

$160.00 (+ $5.00 Credit Card fee or $3.50 PayPal fee) = Full four day event for commuters (with breakfast)

$140.00 (+ $5.00 Credit Card fee or $3.25 PayPal fee) = Full four day event for commuters (no breakfast)

For more information regarding your participation, contact Sr. Gabriela Maria (262-522-4326), regarding extra meals or overnight accommodations, Ruth Bruckbauer (262-522-4300).

ARRIVAL & DEPARTURE INFORMATION

Date of arrival at the Center, Time and first meal

Date of departure from the Center, Time and last meal)

FOR THOSE WHO COME BY PLANE: ARRIVAL

DEPARTURE BY PLANE

If needed or preferred make your own arrangements with local hotels
You can register as a commuter.

COVID WAIVER

RELEASE OF LIABILITY AND ASSUMPTION OF RISK

Signature

Clear

Print Name and Date

Did you click Submit?

After you have submmited your registration, If you would like to submit your payment at this point, notice the PayPal button below.