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Busy Bee Writing Retreat Questionnaire
April 11-14, 2024- Cedar Bluff, Alabama
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What is today's date ( date you are completing this form)?
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DD
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YYYY
What is your full name?
Your answer
What is your age range?
20-29
30-39
40-49
50 and older
Clear selection
What is your address?
Your answer
What is your phone number?
Your answer
What is your email address?
Your answer
What is your primary occupation?
Your answer
What are your writing goals or projects?
Your answer
Have you ever attended a writing retreat before?
Yes
No
Clear selection
Will you be able to commit to participating from Thursday evening until Sunday morning?
Yes
No
Clear selection
Will you need assistance with travel arrangements? If so, please explain.
Your answer
Do you smoke?
Yes
No
Clear selection
Have you completed your COVID vaccination?
Yes
No
Clear selection
Do you have any health conditions that may require management or intervention? If so, please explain.
Your answer
Do you have any food allergies or dietary restrictions? If so, what are they?
Your answer
Please provide your emergency contact name and phone number.
Your answer
Please rank your room preference. Option 1: Private room with en suite bathroom $900 Option 2: Shared room with separate beds $800 Option 3: Shared room/bunk beds $700
Your answer
I understand that a non-refundable booking deposit of $200 is due to confirm your spot. I understand that a payment schedule is provided and that the final payment is due by the deadline given. I understand that I will receive an invoice for payment via PayPal.
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No
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