Friends on the Journey: Young Adult Gathering Registration Form (For adults ages 18-35) Saturday, March 31st, 2012 10 AM to 7 PM First Church in Barre Universalist, 19 Church St. Barre, VT, 05641 Name__________________________________________________________________________________________________________ Address _____________________________________________City/Town ____________________State______Zip_________ Phone_______________________________________________ Email ___________________________________________________ Best way to Contact: Phone Email Other_______________________________________________________________ Emergency Contact _______________________________Reltationship___________Phone_________________________ Food Preferences/Allergies_________________________________________________________________________________ Other Special Needs_________________________________________________________________________________________ Special Interests______________________________________________________________________________________________ Fee: Please send this registration form and enclose a check for $40 made payable to the “First Church in Barre – Universalist” and mail to the address above. Please put “YAG.” on the memo line (for Young Adult Gathering). Scholarships are available. Please check here if You’d like to be considered for a scholarship. Scholarship request ____________________ Bring with You: If You have them, a yoga mat, musical instruments, a journal and hopefully enthusiasm! Don’t bring: alcohol or street drugs. Please avoid wearing perfumes or scents. Thanks. Directions: From the south, on I-89, take Exit 6 (South Barre). Continue straight onto Route 67. At the intersection near Hannafords Supermarket, turn left onto South Barre Rd. Continue .6 miles. South Barre Rd becomes South Main Street. Continue .6 miles—church will be on the right. From the north; on I 89 take exit 7 (Barre). Follow route 302. The church is at the corner of South Main and Church Street Route 302 and 14). It is the only white church bordering the city park in the center of town and the only church with a clock in its steeple. Rides & Carpooling: Please indicate here if this interests You._________________________________________ Hosts: This event will be hosted by Rev. Dr. M’ellen Kennedy and Rachael Sanguinetti. Rev. M'ellen serves three historically Universalist Churches in Barre, Strafford and Washington, Vermont. She is a community psychologist as well as Unitarian Universalist minister and a Sufi minister. She has lead and taught small groups and classes on spiritual growth and practices for over 15 year. Two of favorite spiritual practices are dance and yoga. Rachael is a sophomore at the Eastman School of Music where she is majoring in Vocal Performance and Music Education. She has been a member of the Barre UU Church since birth, and she lives in Berlin, VT with her family. For More Info: contact Rachael Sanguinetti at RachaelSanguinetti@yahoo.com or 802-793-8125, Rev. M’ellen at firstname.lastname@example.org or 802-453-5469. This form is available on the church web site www.firstchurchbarreuu.org. The church phone number is 802-479-0114.
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