Registration Form

Contemplative Outreach Birmingham

An Inter-denominational Christian Meditative Prayer Community Offering Weekly Meetings Across Alabama, Introduction to Centering Prayer Workshops and 3-Day, 4-Day and 8-Day Intensive Retreats

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Contemplative Outreach Birmingham
25th Annual Conference
"St. Hildegard of Bingen: A Woman for Our Times"
with Sister Mary McGehee, OSB
Our Lady of the Valley Catholic Church
5514 Double Oak Ln  Birmingham, AL 35242

Event Date: March 3, 2018
Cost: $60 (lunch included)

Make Checks Payable to COB
Registration Deadline is
February 19, 2018

Open registration: September 1, 2017
Mail Registration to:
Deb Baragona 4080 Forest Lakes Rd, Sterritt, AL 35147

For questions regarding registration, please email:
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or
call Louise Meredith 205-529-7080

Name______________________________________________________________

Address____________________________________________________________

City___________________________________State______Zip_______________

Phone________________________Email_________________________________
Enclosed is my payment of $60.00
Turkey (circle one) _______________Vegetarian_________________
Please bring your own special dietary lunch. We will adjust your fee.

Emergency Contact Person
Name______________________________Relationship______________________
Phone__________________________
If you are not already on our email list, would you like to be added to the list for upcoming Centering Prayer offerings? ________________________