Laura Heine Collage Retreat Registration Form 
We are thrilled that you will be joining us for a fun-filled Laura Heine retreat. The class will be led by certified Laura Heine Instructor Vicki Owen.  Please complete the form. After you have filled it out, please contact Kim Cotcher for payment at honeyhillretreat@gmail.com or message at 210-386-9282.  YOUR REGISTRATION IS NOT COMPLETE UNTIL THE PAYMENT IS RECEIVED.

Total price for the Laura Heine Retreat is $245 which is for lodging and the instructor fee.  (There is an option to arrive a day early, Wednesday for an additional $45.00) 
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Email *
First name *
Last name *
Street address *
City *
State *
Zip Code *
Phone number *
Dietary restrictions? *
LAURA HEINE COLLAGE RETREAT *
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Emergency Person Contact Name *
Emergency Person Contact Phone Number *
WAIVER: Attendee agrees to hold harmless HONEY HILL RETREAT (owner Kim Cotcher) to include all employees, contractors, instructors, vendors, and affiliates, for any damages, losses or injuries that may occur while traveling to/from or during/after the event/retreat, in classroom environment, touring the facility, and all areas within and/or on premise(s). I waive any/all claims for any personal injury, property damage or any loss sustained by me as a result of my participation in the HONEY HILL RETREAT (owner Kim Cotcher) event held on premise(s). By agreeing, I confirm I have read the above and agree to these terms, conditions, waiver, and release of liability. *
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