Restoration Retreat April 19 - 22, 2024 Registration Form
Registration will not be complete until we receive this form.  Cancellation Policy:  Full cost will be refunded if cancellation is received by March 1st, 2023. Cancellations between March 2nd - April 5th will be refunded 50%. Any cancellation after April 6th will not be refunded.
Email *
Last Name *
First Name *
Cell Phone *
Age *
Address, city, state, zip *
T-shirt Size  *
Do you have a roommate preference (all attendees will share a room, unless you are paying to upgrade to private) *
Which airport will you be flying into? *
Please list any food allergies or special requests that you may need: *
Emergency Contact  (Name, relation, and phone number) *
My main reason for attending this retreat is: (please be as specific as possible so that we can group you with similar women) *
Additional information will be shared with you upon receipt of your registration, but are there any questions you might have prior to registration?  You can also email me at brendaferland@msn.com 
Liability Release Statement: I hereby release Brenda Ferland and all retreat attendees and organizers in their individual capacities of all claims, causes of actions, liabilities, disputes, demands, damages, agreements, contracts, obligations, promises, debts and/or accounts of any kind or any nature, whether currently known or unknown, for any damage, loss, or injury of or relating to said Restoration Retreat "Finding Purpose in the Pain" *
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