AWAKENING THE SPIRIT Conference Registration Form:

Open the Registration Form as a PDF Document

Name:        __________________________________________________________________

Address:    __________________________________________________________________

City:            ___________________________ State, Zip:   _____________________________

Phone:       _____________________        Email: ____________________________________

Registration Fee

Registration fee includes registration for all conference events, refreshments, lunch, break refreshments and a wine and cheese reception on October 20th. 

          □ Registration - $75.00

          □ I have limited means and request registration at a reduced rate of $______

          Full scholarships are available for Students until scholarship funds are exhausted.

          □ I apply for a Student scholarship and submit a copy of my student identification
 

$_______

Laurie Doctor Experiential Workshop:
          
The 24 places for Laurie Doctor's experiential workshop have been filled - please add my name to the waiting list: ________________     
               

 


Total - Please make checks payable to "ITMS"
 

$_______

Local Hotel Information:

 Special Bellarmine rates are available at the following hotels:
  Holiday Inn Express, Louisville Airport/Expo Center 502.456.4411
  Brown Hotel (Downtown) 1.800.555.8000

  

Please print and return this form, with check or money order made out to ITMS, to:
Awakening Conference
Thomas Merton Center
Bellarmine University
2001 Newburg Road
Louisville, KY 40205