Please print out this registration form, complete and return with your deposit ($85.00).
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 ____________________________________
•E-mail or Phone #____________________________________
There is an additional charge of $55.00 for a single room.
Are you attending with a group or guild? Y/N
• If so, please indicate name of group or coordinator:
______________________________________________
• We will make every effort to put your sewing group together
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
c/o Susan Gordon
506 Cooper’s Pond Drive
Lawrenceville, GA 30044
Questions? E-mail Betsy Podriznik at betsy@sewfree.net
We will confirm your registration by e-mail within 5-10 days of receipt.
Balance is due by October 1, 2011