TFS 2024 Wellness Retreat Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please answer the following questions carefully. It is very important that this information match your passport. Accurate information is required for travel bookings.

Email *

Record my email address with my response

What is your full legal name? (This must match your passport exactly) *

What is your date of birth? *

YYYY

What is your best contact phone number? *

Secondary phone number (optional)

Home/Physical Address *

Mailing Address (if different than your home address)

If the same, please answer N/A.

Emergency Contact Full Name (someone not in attendance of this retreat) *

Emergency Contact Phone Number (This will not be used for any marketing or unsolicited communications) *

I understand that I must have a valid US passport for this retreat AND that it must not expire within 6 months of our departure and return dates. *Current processing times for passport applications and renewals are 7-10 weeks. *

Yes

I understand that I am responsible for purchasing my flight to and from the destination. *

Yes

I have read and fully understand the Cancellation & Refund Policy for this retreat. *

Yes

I have completed the $350 deposit required to reserve my spot on this retreat.

For PayPal

For Zelle

Yes

Partial (I will complete the deposit before the deadline)

I have read and fully understand the Payment Policies for this retreat. I understand that my balance must be paid in full by March 15, 2024.
*

Yes

I understand if my deposit is not received in full by November 30th, then I do not have a reserved place in this retreat. *

Yes

Please choose your intended payment plan option. *

Option 1: 5 Total payments (double occupancy)

Option 2: 3 Total Payments (double occupancy)

Option 1: 5 Total payments (single occupancy)

Option 2: 3 Total payments (single occupancy)

VIP (Option 1- Double Occupancy): Deposit before 11/30 + Additional payment of $150 before 12/18.

VIP (Option 2- Double Occupancy): Deposit before 11/30 + Additional payment of $150 before 12/18.

VIP (Option 1- Single Occupancy): Deposit before 11/30 + Additional payment of $150 before 12/18.

VIP (Option 2- Single Occupancy): Deposit before 11/30 + Additional payment of $150 before 12/18.

I consent to Tools for Success Counseling to use my photos and videos, including those in which I am featured for the purpose of various marketing and social media posts. I understand that these photos and videos may be used in both digital and print media and may be shared publicly. I release Tools for Success Counseling, LLC from any liability or claims related to these materials. This consent is granted for an indefinite period unless revoked by me in writing. *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of toolsforsuccesscounseling.com. Report Abuse

Forms