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Harvest Gathering 2017 Registration Form
You can either pay online (via PayPal) or send a check made out to "CWPN, inc." with the appropriate payment to:
   Attn: Harvest Gathering; CWPN Inc; P.O. Box 871; Bethel, CT 06801
(Please include your registration number when sending payment via mail)
Please use your legal name in the registration form below as First Name and Last Name and enter the name you prefer to be called as the Prefered Name.
First Name
Last Name
Preferred Name
Address
City
State
Zipcode
Email Address
Daytime Phone
Evening Phone
Date of Birth
CWPN Member
Parent/Guardian
Option

Other People in party If you are selecting the cabin housing and want to be assigned in a cabin with a group of other people then please select a name for your group and enter that below then enter the names of all the other people in your group.
Each person in your group will have to fill out a separate registration form .
Group Name
Meal Plan
Food OptionOmnivore Vegetarian Vegan 
Gluten-Free
Special Needs
How did you hear about Harvest Gathering?

Additional Registrations (Children Only, Please)

Include

First Name

Last Name

Member?

Gender

Age
Meal
Plan
Food Option

REFUND POLICY

  • REGISTRATION INSTALLMENT PAYMENTS ARE NON-REFUNDABLE.
  • REGISTRATIONS PAID IN FULL PRIOR TO JUNE 1, 2017 WILL BE REFUNDED SUBJECT TO A $30.00 PROCESSING FEE.
  • NO REGISTRATION REFUNDS WILL BE GIVEN AFTER MAY 30, 2017
I agree to the conditions for registration, cancellation, refunds
Payment Type
Donation to the HG scholarship fund $
Amount Due $