The Art Of Play Retreat

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

Date: June 10th from 6:30-9:30pm, June 11th from 9am-4:30pm
Location: SpiritWood Retreat, Priddis, AB
Contact us at: info@newbeginningshw.ca or 403-585-5243

Email *

First and Last Name *

Email *

Address *

Emergency Contact (first name, last name and phone number) *

Do you have any allergies? If so, please explain severity and care that may be required (ie. epi-pen, etc.)

Dietary restrictions (we will provide food that includes no restrictions, vegetarian and gluten free) *

None

Vegetarian

Gluten-free

Other:

Do you need assistance finding accommodation? *

Yes

Please read and check each item: *

Check here:

If Covid-19 restrictions related to gathering and/or food are in place, I understand that there may be need for adjustments as deemed by New Beginnings Health And Wellness staff and/or SpiritWood Retreat hosts.

I understand that New Beginnings Health And Wellness and SpiritWood Retreat staff are not responsible for lost or stolen items.

I understand that payment for the retreat is due upon registration to reserve my spot and I will be contacted to arrange payment by etransfer, paypal or credit card. I understand payment is due by no later than May 27, 2021.

I understand that if I cancel within the 2 weeks prior to June 10th, I will not receive a refund. This is due to food and administration expenses.

Check here:

I understand that New Beginnings Health And Wellness and SpiritWood Retreat staff are not responsible for lost or stolen items.

I understand that if I cancel within the 2 weeks prior to June 10th, I will not receive a refund. This is due to food and administration expenses.

Signature: Type Your Full Name *

Signature Date (Choose Today's Date) *

YYYY

Time *

Time

You will receive an email with your form responses.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms