Workshop Registration

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 Simon Workshop
September 22 – 24, 2017
At the wonderful
Kirkridge Conference Center
Bangor, Pennsylvania.


To see more detailed information on the workshop before registering
Select “Workshop Flyer” on the Simon Workshop 2017 menu above.
Click Here to visit Kirkridge Retreat Center Website

This is the registration page for the September 22 - 24, 2017 Simon Workshop. Please complete all fields on the form.

The fee for the workshop is $350 for one person and $600 for two people registering together. You will be asked to provide an emergency contact person's name and phone number. If you are registering with someone else you will need this information for them also. You may also list a roommate preference. It is highly recommended that you have this information available before you begin the registration process.

Payment may be made by credit card, PayPal or check. If paying by check please click the appropriate box on the registration form.

Detailed information on writing and mailing your check will be emailed to you
within 72 hours.

If you believe you entered something incorrectly or would like to make changes to the information you input, please send an email to

You may find it more convenient to use the "tab" key to navigate from field to field.

Scrolling is also permitted while in the registration form.

If you do not receive a registration confirmation email within 72 hours please email me, Dale,

Finally, after completing the registration form you will be taken to the payment area where you may pay by credit card or Pay Pal.