Hawaii retreat 2019 sign up

YAY!!!! You have been accepted to attend our retreat this May in Hawaii. Please fill out the following information and be sure to sign the travel agreement. **Application is not complete until travel agreement has been signed and deposit has been paid.

 

Please complete the form below

Name *
Name
Do you go by a different name than your legal given name?
( ie: @brookescheurnphoto)
Phone *
Phone
Date of Birth *
Date of Birth
(must be 18 by May 14th, 2019)
Mailing Address
Mailing Address
(ie: Barbie, Mom, 222-222-2222)
"I prefer to room with..." (Don't worry if you don't know anyone else coming. We'll pair you with a new friend!)
This will be used so we can check to make sure your deposit was submitted. If you haven't paid that already please do so.
( mask, snorel and fins)