WOMENS HEALING RETREAT TRIP APPLICATION
Vitality Womens Healing Retreat, USA
Elohee Retreat Center - 770-316-9195
Date: June 24 - 27, 2021
Trip leader: Donna Sharpe
Trip Webpage: www.wholelisticwellbeing.com
Please print your name and information carefully as this information is needed for your Retreat Housing reservations. Your airline information is essential for your personal travel need and is not mandatory. We will however need to know your arrival time in advance so we can know when to expect you. Please also complete the additional required forms upon registration
TEXT MESSAGE OPTIONS DIETARY INFORMATION
Please check all that apply:
We try to cater our menus to each group’s needs. Unfortunately, we cannot provide the necessary foods for allergies. If you bring special foods with you that are medically necessary, we may be able to prepare them for you (i.e. gluten free pasta or bread for toast and sandwiches).
If you have severe allergies, please check with the kitchen at each meal to be sure that we have made accommodations for you.
Please complete this request no later than four weeks prior to the event.
RELEASE FOR HIKING COURSE PARTICIPANTS / OTHER EVENTS
Release Form for All Ropes Course Participants
(Complete if you are participating in the hiking event)
I have requested Elohee Retreat Center to allow me to participate in the hiking activity. As a condition of receiving this benefit, I undersigned, do hereby agree to the following.
I understand that my participation in the above activities can expose me to danger both from known and anticipated risk acknowledging that such a risking this, I hereby release and discharge Wholelistic Wellbeing, LLC or Elohee Retreat Center and its officers, agents and employees from any and all claims or liabilities for personal injuries or property damage. I may suffer while participating in the activities including but not limited to any claims arising out of any conditions of the premises at which the activity is held or the conduct of any persons in connection with the preparation for supervision off or conduct of any activities, with a planned or unplanned.
I specifically agreed to release and hereby release Wholelistic Wellbeing, LLC, and Elohee Retreat Center in the officers, agents and employees of the camp for any negligence of the camp or it’s officers’ agents or employees.
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Name Printed THING WE NEED TO KNOW ABOUT YOU
I am..(check all that apply)
FUTURE RETREATS Time Zone
Please let us know where you are located. This will help us in scheduling a follow-up call as needed for any phone conversations. Please include the general days and times you are available for quicker access.
How would you describe this current chapter (i.e year ) of your life? Please provide a brief description of your current situation?
If you had a chance to change this chapter of your life, what would that look like? Please briefly describe how you would like to see how things look like for you in the near future?
What is your primary reason for attending the retreat? I am okay with sharing a room space with other attendees. In case of Emergency contact: Address Home Phone Work Phone Relationship to the Participant
Your airline, flight numbers and departure and arrival times: Complete as applies.