What I Want You to Know: Film Screening & Conversation

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1 Welcome

2 People in your group

Please provide a different email for each person you register. Each individual must consent to our policies in order to attend. Registration is not complete without this consent.

Guest 1		FIRST NAME* LAST NAME* EMAIL*
Guest 1		FIRST NAME* LAST NAME* EMAIL*

After completing this form, emails will be sent to everyone in your group to complete their information.

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3 Tell us about yourself

Phone
Emergency Contact Info *	Please provide us the name, number, and relationship.
Dietary Restrictions/Allergies	Please list only serious medical concerns. Because we have a small kitchen, we cannot accommodate personal preferences.
Dietary Preference
Any additional health & care information not listed above that we should be aware of.
How did you hear about this program and Cranaleith?
Email Newsletter	Yes, please sign me up for the email newsletter!We do not share our list

4 Optional Demographic Information

I identify my gender as	Cranaleith is welcoming to all people.
Are you 50 years of age or older?
Which of the following best describes you?
What is your present religion?
Are you an individual with an income at or above $16,000 a year?

5 Policies

Terms and Conditions *	I have read and agree to Agreement of Indemnity and for useAs part of the consideration for the use of the facilities of the Cranaleith Spiritual Center at 13475 Proctor Road, Philadelphia, PA 19116, and intending hereby to be legally bound, the undersigned organization and/or individuals (as indicated), hereby agree to indemnify, defend, and hold harmless the Cranaleith Spiritual Center and the Sisters of Mercy and all of their members, officers, directors, employees and agents from and against all claims, suits, actions, demands, charges, obligations, costs and expenses, or financial responsibility, including attorney’s fees and costs of suit, to which it or they may ever be threatened, exposed or found liable arising from or out of the use of the said facilities, or arising out of incident, accident, or injury occurring while the individual or group is utilizing Cranaleith Spiritual Center, including but not limited to actions regarding our health and safety guidelines in relation to COVID-19, or any of the acts or omissions of the undersigned or their agents, employees or members. This obligation of undersigned to hold harmless, defend and indemnify shall begin immediately upon notice of a claim and shall not require any actual loss to be suffered by the parties indemnified.
Our Refund Policy *	I have read and agree to Cranaleith Spiritual Center's Refund PolicyRefund Policy

6 Help us make a difference

$	Scholarship Your donation will help us offer scholarships for those with a financial need. Cranaleith is a 501c-3 non-profit organization and all donations are tax-deductible.
$	Support Cranaleith Spiritual Center Your donation will help us to further develop our facilities and programs. Cranaleith is a 501c-3 non-profit organization and all donations are tax-deductible.

7 Security Check

Security check

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	You will be asked for payment details in the next step. Click the button below to continue.

1 Welcome

2 People in your group

3 Tell us about yourself

4 Optional Demographic Information

5 Policies

6 Help us make a difference

7 Security Check

8 Payment