Sewin’ In The Summer 2012
Thursday, August 16 – Sunday, August 19,
2012
Name:___________________________________
Address:____________________________________________________________
Phone: Home________________Work_____________Cell___________________
Email:
____________________________
√
|
Lodging Type
|
Rate
|
Box
|
Includes all meals
|
|
Motel-Double
|
$394.00
|
|
Motel-Single
|
$494.00
|
|
Cottage-Double
|
$376.00
|
|
Cottage-Single
|
$476.00
|
A non-refundable
deposit of $150.00 and signed registration form should be sent to:
One Loose Thread Quilting, 630 Planters Drive , Columbia
Attention: Joyce Greer
630p@bellsouth.net
Total included:
$________________ with registration form.
Dietary Restrictions ____________________________
Special
Needs:__________________________________________________________
Roommate Request: ______________________________
Email confirmation will be sent when deposit is received.
Full balance is due July 7, 2012.
I understand that by com pleting
this registration form and making my deposit, I am obligated for the total cost
of this event. Also, if, for any reason,
I am unable to attend and cannot find someone to assume my reservation, I am
financially responsible for the full amount of the balance.
Personal liability waiver and indemnification
agreement
Your safety and the security of your
equipment is taken very seriously, but the retreat organizers will not
be held liable for any personal injury,
loss/theft or damage anytime during the retreat. Your attendance
constitutes your agreement to indemnify the
organizer from any claim for injury, loss or damage for any
reason. You are responsible for any damage
to the retreat center property, facilities or equipment caused
by you through
negligence or willful intent.
Signature:
_________________________________ Date:
________________________
