Include $40 deposit per person, payable to Quaker Center. Mail to:

PROGRAM DIRECTOR
QUAKER CENTER
P.O. BOX 686
BEN LOMOND, CA 95005

Adult(s): ______________________________________________________________

Children and ages: _____________________________________________________

Address: ______________________________________________________________

City and Zip: ___________________________________________________________

Phone: (____) ___________

E-mail: _________________________

Diet Restrictions/Special Housing Requirements:

______________________________________________________

_______ I prefer to sleep in the Orchard Lodge.

_______ Put me in the Redwood Lodge if needed.

_______ I can offer a ride.

_______ I need a ride          _______ I need a map

THE BEGINNINGS OF EARTH AND SKY - REGISTRATION