Recharge Mom Retreat
Please fill out the form to reserve your spot. A payment request will be sent to you once the form is complete. Your spot is only confirmed once payment is received.

Please note some questions may seem odd and unnecessary but some info will be used for a few surprises that are planned.
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Email *
First + Last Name *
Cell Phone *
Tell us a little about yourself.
Where you are from, what you like to eat, to do, why do you want to come on this retreat, what are your expectations for this retreat, what do you look for in a friend, do you have any special talents, etc. *
If we did a group activity, what would you prefer to do? These may have an additional fee. Select your top 2 choices.
Can you be a DRIVER for carpooling? If yes, how many passengers can you fit in your car excluding yourself.
Would you like to be a carpooling PASSENGER or drive on your own? (please consider carpooling as house parking is limited)
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Do you have any food allergies or foods you absolutely can't stand? *
Do you have any friends attending the retreat? If yes, who? *
What is your beverage of choice? Alcoholic and non alcoholic.   *
What are some of your favorite snacks?
What is your fave color? *
What is your T-Shirt Size? *
Please tell us the names and ages of your kids. *
Please provide the contact info (name, email and phone) for 2 important people in your life. They can not be attending the retreat with you. *
Is there a person you wouldn't mind sharing a king bed with? If yes, tell us who. *
Do you snore or use a sound machine? *
What is your Venmo or Cash app username? (for payment request) *
Emergency Contact Name + Phone *
Any additional comments or questions? *
I understand I will pay a $250 nonrefundable deposit to secure my spot for the retreat. I understand the deposit is transferrable to a friend if I am unable to attend. *
I understand I am responsible for my own behavior and conduct during this retreat including but not limited to alcohol consumption. Sunshine Play + Learn and the motherHOOD assume no liability and/or risk for you on this retreat. By clicking "I agree" I am signing to the above statements electronically. *
I understand I may be photographed and/or filmed for a recap post, video and or to promote future retreats. If I do not want to be photographed or filmed, I will advise the retreat planner before the retreat. *
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