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                    SewFree Fall Weekend Registration Form

Getting’ Ready for Christmas

Registration Form

 

Please print out this registration form, complete and return with your deposit ($75.00). 

Name ______________________________________________

                                             

Name for name tag______________________

 

Address____________________________________________

 

City___________________    State____   Zip Code__________

 

Phone (___)______________Email_______________________

 

We would like to keep in touch with you by email as it helps us cut down on mailing expenses.  Is email a good way to contact you?           Y/N

 

Emergency contact/s name_________________________________

          Phone number/s(____)________________________________

 

Dietary restrictions/special needs____________________________

Do you require handicap access bathroom:    Y/N

Do you want to room with a friend who is also attending this retreat?  Y/N

•Roommate’s name ____________________________________

 

Do you prefer a single room?   Y/N (the additional fee for a single room is $55.00)

 

          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 SewFree Retreats from any claim for injury, loss, or damage for any reason.

 

I agree to the policies outlined above.

 

___________________________________________

Date: __________________________

         

  

                   Mail this form with your deposit to:

                            

                             Sew Free Quilt Retreat

                             506 Cooper’s Pond Drive

                             Lawrenceville, GA 30044

 

Questions?  E-mail Susan  at susangordon@sewfree.net

 

Registration is limited and will be processed by date received. 

 

We will confirm your registration by e-mail within 5-10 days of receipt.

 

                   Balance of $100.00 is due by September 30, 2010

 

 

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