Crossbridge Rooted Winter 2024

Please fill out this form and click submit. The cost is $40 per person to go through the Rooted Experience (if you are an alumni the cost is $25), which includes all sessions, your workbook, materials, and the Celebration dinner at the end of the 10 weeks.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Alumni:

*

Please select all that apply.

Yes No

Spouse's name if attending:

Check all that apply:

*

Please select all that apply.

Male Female Single Married Divorced Widowed

Age:

*

Please select all that apply.

18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 64 or above

Childcare:

Childcare will be provided on Sunday mornings.

Will you need childcare?

Please select all that apply.

Yes No

If yes, please list the ages of children:

Payment:

The cost is $40 per person. If you are alumni, and still have your book, the cost is $25 per person. Enter the right amount for an individual or a couple you wish to register for the Rooted experience. If you are in need of a scholarship please indicate below your specific need.

Payment

I/We are in need of a scholarship:

Please select all that apply.

Half Scholarship ($20 a person) Full Scholarship ($40 a person)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit. The cost is $40 per person to go through the Rooted Experience (if you are an alumni the cost is $25), which includes all sessions, your workbook, materials, and the Celebration dinner at the end of the 10 weeks.

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