Be Still ~ Beach Retreat Summer 2022

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

Date: November 4, 2022, 3pm to November 6, 2022, 3pm
Event Address: Address and further directions will be sent once your registration and payment are complete
For further information email: alenesnodgrass@gmail.com
To see list of accommodations go to: http://www.positivelyalene.com/beach-retreat-accommodations/

First and Last Name *

Email *

Mailing address: *

Cell phone number: *

Are you attending with a friend? If so, who? *

What accommodation option are you choosing? Note: choices were noted and linked on previous web page

Option 1 - King bed to yourself, $297 for the weekend

Option 2 - Sharing a King bed, $237 each, for the weekend

Option 3 - Queen bed to yourself $247 for the weekend

Option 8 - Sharing a Queen Bed, $217 each, for the weekend

Option 5 - Twin Bottom Bunk, $227 for the weekend

Option 6 - Twin Upper Bunk, $207 for the weekend

Option 7 - Queen sleeper-sofa, $227 each, for the weekend

Clear selection

Are you planning to share a bed? If so, do you have someone in mind?

Please list dietary restrictions, if medically necessary. (we will try to accommodate as best we can) *

What is your desire for this weekend?

Emergency Contact Name: *

Emergency Contact Phone Number: *

I understand that all tickets are non-refundable. They may be transferred, however that is the attendees responsibility. *

Yes

Required

What's next?

After your registration is complete, you will receive a separate email with a Payment Request from PayPal, Venmo, or an email where you can mail your check. Your registration is not complete until payment is made. Can't wait to see you on the island. Thank you! Alene

Submit

Clear form

Never submit passwords through Google Forms.

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

Forms