Retreat Attendee and Individual Registration Form

Retreat Attendee and Individual Registration Form
Name*
Birthday

MonthDayYear
Date
Address*

Street Address

CityState / Province

Postal / Zip Code
Phone*
Email
example@example.com
Emergency contact name*
Phone number/s*
Do you have any dietary restrictions or allergies*
Do you require ADA accommodation?*

YesNo
Roommate Request
1
2
3
4
5
Please indicate the day that you will be arriving*
Please indicate the day that you will be leaving*
Do you allow photos to be taken for social media purposes?*

YesNo
We would like to keep in touch with you by email. We will not share or sell this information. Is email a good way to contact you?

YesNo
Retreat Policies:
- Check-in is 10am / Check out of room at 12 pm and out of building at 2 pm, subject to change.
- A charcuterie bar and fruit tray will be provided on the day of arrival.
- Dinner will be provided on the arrival date, for all retreaters, lunch and dinner for the days following. Brunch will be provided on departure day.
- Continental breakfast, tea, coffee, Keurig, and water available 24/7. Cold sodas (Coke, Diet Coke, Dr. Pepper, Diet Dr. Pepper & Sprite) available for $1. Bottled water free.
- Full size refrigerator/ freezer and Keurig with K-Pods are available for personal use.
- The sitting room has DirecTV & Roku for streaming. High speed WiFi from personal tower.
- Massage & reflexology are available with prior arrangements.
- Smoking in designated areas: Outside Only.
- Selling of product must be approved by owner prior to retreating.
- Free table is to consist of only craft related items.
- Don’t forget your cash & checkbooks to receive 15% off in the quilt shop (sale section excluded).
- A convenience fee of 3.5% will be charged on all credit/ debit card payments.
We take your safety and the security of your equipment very seriously, but we will not be liable for any personal injury, loss/theft, or damage anytime during the retreat. Your attendance constitutes your agreement to indemnify and hold harmless Sunset Retreat from any damage for injury, loss, or damage for any reason.*

Clear
Date*

MonthDayYear
Date
Printed Name*
Would you be interested in doing a short demo?*

YesNo
What would you demo?
Should be Empty:

Retreat Attendee and Individual Registration Form

Roommate Request