Escape to Honey Pot Nature Retreat 2021

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A post-Covid retreat for women.
A time to unplug and restore.
A “loads of nature” retreat.

August 6-8, 2021
Craryville, NY

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First and Last Name *

Email *

Phone Number *

Name of Emergency Contact *

Phone Number of Emergency Contact *

Dietary Restrictions (Write N/A if none) *

COVID-19 Vaccination Status (voluntary and strictly confidential)

Are you fully vaccinated or do you plan to be before the start of the retreat on August 6, 2021?

Yes

Other

Opphev valget

Accommodation Preference *

All accommodations are first come, first served.

Queen bunk tent: (capacity 4ppl)

Pop up tents: (capacity 2-3ppl)

Bring your own

I do not have a preference

Name of Registrant(s) attending you would like to bunk/tent with if applicable. (write N/A if none) *

Please complete payment via paypal and list your confirmation number: *

PAYPAL link can be located on our website: https://www.amalgamatedance.com/escape-to-honey-pot-nature-retreat

Your e-signature below signifies that you have read and agree to the following: I hereby release Amalgamate Dance Company (ADC), its instructors, directors, technical crew and all rehearsal, performance, class, and event locations from any liability due to personal injury or loss of property, which I may sustain as a result of participating in any activity with the Company. *

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