Humble Warrior Retreat Registration

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This registration form is for the November 13th In-Person Retreat hosted by Humble Warrior Wellness and Yoga in Hiawassee, Georgia.

First and Last Name *

Preferred Name or Nickname *

Pronouns

Email Address *

Mailing Address - Please include your full mailing address including apartment number, state, and zip code *

Phone Number *

Have you attended a Humble Warrior Retreat before? *

Yes

If you have attended a Humble Warrior Retreat before, when did you attend? *

Emergency Contact :First and Last Name *

Emergency Contact: Relationship to You *

Emergency Contact: Phone Number *

Humble Warrior serves Women with Military Experience and Women First Responders (past or current service). Please select the option of your service background. *

Military Service

First Responder

T Shirt Size *

XXL

Other:

Do you have any dietary accommodations? *

Gluten Free

Nut Free

Kosher

Other:

Do you have any lifestyle accommodations that are needed to attend this retreat? *

What appeals to you about this wellness retreat? *

How will this retreat help you fulfill your personal goals? *

Do you have any special wellness skills or resources that you would like to share with the group? (example: essential oils, massage, etc.)

Do you foresee a financial hardship covering costs of transportation to and from the retreat? If so please explain in "other" - scholarships are available on a case by case basis. If you select "Other" a HW staff member will email you to follow up. *

Other:

I agree to sharing accommodations during the Humble Warrior Wellness Retreat (this includes bathrooms and shared common rooms) - physical distancing, sanitizing, and the wearing of masks will be in effect *

Yes

Required

After you submit your registration you will receive a "thank you for your registration" email. Within 48 hours, you will receive an email and link to pay your $20.00 fully refundable registration fee to complete your registration. After you have registered AND paid, you will receive an email with the retreat's details, agenda, and more making you fully registered. The fee will be forfeited and considered a donation if you choose not to attend without advanced notice of your cancelation. If you have questions about this process please email us at info@humblewarrior.org. If you choose "Other" we will follow up with you personally to discuss any concerns. *

I understand and accept these terms

Other:

Would you like to be added to the Wait List in case the registration is currently full and a space becomes available? *

Yes

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