Online All Day Sitting Registration Form

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

ONLINE All Day Sitting Registration Form

Springwater Staff: The following fields that begin with "$" are where current fees are stored. Whenever fees change, simply change the content of these "$" fields (using the "Default Value" setting) and the rest should take care of itself. If you ever run into an intractable problem, you can reach out to markbruno@riseup.net for assistance.

$ONLINE ADS RATE 25

$MEMBER ADS RATE ADDITIONAL PERSON 25

$NON-MEMBER ADS RATE 30

$NON-MEMBER ADS RATE ADDITIONAL PERSON 30

$MEMBER GUEST ROOM DAILY RATE 40

$MEMBER GUEST ROOM DAILY RATE 50

$MEMBER GUEST ROOM DAILY RATE 65

$NON-MEMBER GUEST ROOM DAILY RATE

$MEMBER MINI-APARTMENT / GUEST CABIN DAILY RATE

$NON-MEMBER MINI-APARTMENT / GUEST CABIN DAILY RATE

$MEMBER ONE BEDROOM CABIN DAILY RATE

$NON-MEMBER ONE BEDROOM CABIN DAILY RATE

$RIDES EACH WAY

$MEMBER ADDITIONAL PERSON - GUEST ROOM

$MEMBER ADDITIONAL PERSON - MINI-APARTMENT / GUEST CABIN

$NON-MEMBER ADDITIONAL PERSON - GUEST ROOM

$NON-MEMBER ADDITIONAL PERSON - MINI-APARTMENT / GUEST CABIN

$MEMBER ADDITIONAL PERSON - ONE BEDROOM CABIN

$NON-MEMBER ADDITIONAL PERSON - ONE BEDROOM CABIN

Select the All Day Sitting you would like to attend online*

Are you a Springwater Center member?*

Yes No

Have you visited Springwater Center in-person or online before?*

Yes No

How did you learn about Springwater Center?

Please visit our All Day Sittings and FAQs pages for more information about Springwater Center.

Check here to be added to our email list for news updates

I would like to be added to the news update list.

Personal Information

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

USA Canada

Other:

Phone

Email*

Payment

We'll receive your application as soon as you submit your payment information.

To pay online, fill in the credit card information in the credit card box that appears.

ADS Rate, Online $

Total Payment $

Please submit payment below.*

I will pay online

To pay online, fill in the credit card information in the space below.

Billing Address: please choose one*

My billing address is the same as the address listed above My billing address is different

Name

First Name

Middle Name (optional)

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Credit Card*

*Please select an All Day Sitting from the drop down box at the top of the page*