“And into the forest I go..to lose my mind & find my soul” Registration Name * First Name Last Name Phone * (###) ### #### Email * What is your social media? Are you above the age of 18 years old? * Yes No How did you hear about this event? What is your intention for this getaway? Are you taking prescription medication? * Yes No Please list them Do you have any medical conditions or health concerns that we should be aware of? * Do you have any dietary restrictions or allergies? * Dietary Preferences Vegetarian Vegan Omnivore Pescatarian Gluten Free Dairy Free Other If other dietary preference, please list here Emergency Contact * First Name Last Name Phone * Would you like to request a connection call? Yes **For any questions about room details text or call Shannon @ 863-326-8124** Room Options Single Bed in Dorm Style (3-4 people in shared space) $555 Double Bed in Private Room $777 Double Bed in Private Room (shared) Paid together $1332 If requesting a private shared space, what's your partner's name? Payment Pay in Full Downpayment of 50% plus two scheduled payments of 25% each **Request for payment will be made once Registration and Liability Waiver are completed** Do you have any comments, questions, or concerns? Congratulations on initiating your journey through the elements!!Next step: Fill out this liability form.After that is completed, Shannon will contact you to finalize your spot. Hip hip, HOORAY! :)
