JavaScript non è attivato nel tuo browser, pertanto questo file non può essere aperto. Attivalo e ricarica.
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.
Accedi a Google
per salvare i risultati raggiunti.
Scopri di più
* Indica una domanda obbligatoria
Email
*
Il tuo indirizzo email
First + Last Name
*
La tua risposta
Cell Phone
*
La tua risposta
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.
*
La tua risposta
If we did a group activity, what would you prefer to do? These may have an additional fee. Select your top 2 choices.
Boat Rental
Kayaking
Hiking (Welaka State Forest)
Trip to the Springs (about an hour away)
Altro:
Can you be a DRIVER for carpooling? If yes, how many passengers can you fit in your car excluding yourself.
La tua risposta
Would you like to be a carpooling PASSENGER or drive on your own? (please consider carpooling as house parking is limited)
Passenger
Drive on own
Don't know yet
Cancella selezione
Do you have any food allergies or foods you absolutely can't stand?
*
La tua risposta
Do you have any friends attending the retreat? If yes, who?
*
La tua risposta
What is your beverage of choice? Alcoholic and non alcoholic.
*
La tua risposta
What are some of your favorite snacks?
La tua risposta
What is your fave color?
*
La tua risposta
What is your T-Shirt Size?
*
Small
Medium
Large
X-Large
2X-Large
3X-Large
Please tell us the names and ages of your kids.
*
La tua risposta
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.
*
La tua risposta
Is there a person you wouldn't mind sharing a king bed with? If yes, tell us who.
*
La tua risposta
Do you snore or use a sound machine?
*
La tua risposta
What is your Venmo or Cash app username? (for payment request)
*
La tua risposta
Emergency Contact Name + Phone
*
La tua risposta
Any additional comments or questions?
*
La tua risposta
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 agree
I disagree
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 agree
I disagree
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.
*
I agree
I disagree
Invia
Cancella modulo
Non inviare mai le password tramite Moduli Google.
Questo modulo è stato creato all'interno di Sunshine Play + Learn.
Segnala abuso
Moduli