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Retreat Registration

ALL REGISTRATION FORMS MUST BE ACCOMPANIED BY A $100.00 DEPOSIT - this deposit is deducted from your retreat fee.

Payment and Cancellation Policy:

Full payment is due 6 weeks prior to date of your retreat
$25.00 non refundable cancellation fee applies to all registrations
6 weeks notice is required for a refund of the balance
$10.00 good customer discount applies if you have previously attended a Scrapgrlz Retreat
Old Oak Ranch Only
- Children aged 10-15 are welcome (3 day only) as long as they are scrapping - their cost for 2010 - $130.00
- A room can be held as a single in Duncan Lodge for an extra $20.00 - Maximum single rooms 7

PLEASE ENSURE YOUR EMAIL ADDRESS IS FILLED IN ON THE FORM

Name
Address 1
Address 2
City
State
Zip
Email (REQUIRED):

Home Phone:
Cell Phone:
Emergency Name and Contact #

Allergies - food, medicine, environmental

Special Needs, disabilities

How did you hear about the Retreat (friend, search engine, website etc)

Old Oak Single Room Requested Duncan Lodge	Yes No

Choose which retreat you are attending (you will need to fill in this form for each retreat you are attending) Prices listed are per person

If you are coming with a group of friends, please tell us who you are coming with

Are you or one of your friends celebrating anything special that weekend?

If you are a party of over four scrappers please have one person e-mail us with your names and party size so we can set up the tables (only groups of 4 or more scrappers)

Method of Payment

Old Oak Only This part of the form must be electronically signed with your name and dated when attending a retreat at Old Oak Ranch	SAVE HARMLESS AND INDEMNITY AGREEMENT I, the undersigned, in consideration of my attending Scrapbook Weekend Retreat hosted by Scrapgrlz and housed by Old Oak Ranch, hereby agree to defend, indemnify, and hold harmless, the companies, their employees, owners, and agents from loss, claims of loss, costs, fees, and expenses, including court costs and attorneys' fees, arising from, alleged to arise from, or in connection with attendance of this retreat. Name: Date:

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