“Christian Science Nurse": A Manual By-Law for Every Member

“Christian Science Nurse": A Manual By-Law for Every Member

Tenacre School of Christian Science Nursing
Tenacre’s Mission:

"To cherish and demonstrate the truths of Christian Science and to apply these truths to every aspect of living and working together."
Name *
Email
Phone Number *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you a member of The Mother Church? *

Yes No
Branch Church *

Yes No
If yes, city & state *
Dates you wish to attend: *
Please share why you would like to participate in this workshop? *
Are you able to walk up and down stairs? *

Yes No
Are you free from the need for Christian Science nursing assistance? *

Yes No
While on Tenacre’s property the use of alcohol or tobacco is not permitted. Do you agree to uphold this standard? *

Yes No
Please provide the names, telephone numbers, and email addresses of two references who are students of Christian Science and are not related to you:
Reference 1 *

First Name Last Name
Reference 1 Phone Number *
Reference 1 E-mail
Reference 2 *

First Name Last Name
Reference 2 Phone Number *
Reference 2 E-mail
Name of emergency contact *

First Name Last Name
Phone Number *
E-mail
Relationship *
Will you be staying overnight? *

Yes No
If yes: arrival date:
Departure date:
How do you want to receive communications from Tenacre, US mail or email? *

Email US Mail
When applicable, Friday night accommodations are complimentary. Any additional nights will be charged at the current Tenacre Visitor Accommodations rate.

Please note that the Tenacre campus is large and much walking is necessary, including staircases. Thank you.
Meal Preference *

Vegetarian Vegan No preference
Signature *
Your name
Date *

/ Month / Day Year
Date
Enter the message as it's shown *
Tenacre School of Christian Science Nursing

P.O. Box 632, Princeton, NJ 08542

Attn: Karen Janitz Email: school@tenacre.org

609.279.2335
Should be Empty: