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Adult Retreat Registration Form
Mandatory - 1 Per Adult Guest
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* Indicates required question
Full Legal Name
*
Your answer
Name of purchaser (if the retreat was purchased by someone else so that we can confirm payment)
Your answer
Are you coming with your children? Please list their names, gender and ages here and make sure you register them here:
CHILD 8+
CHILD 0-7
Your answer
Your Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
List of food allergies for yourself
*
Your answer
Do you require a golf cart to and from the dinner hall?
*
Yes
No
I acknowledge that failure to show up at departure time may result in the bus leaving without me.
*
Yes
No
I acknowledge that any damage that I cause to the property will be billed directly to me plus a 15% admin fee.
*
Yes
No
By attending the retreat, I understand that keeping the common areas clean is a communal responsibility and not that of the volunteers, I will do my best to clean up after myself.
*
Yes
No
I acknowledge that an
y form of recording the workshop sessions is strictly prohibited and that audio or video recordings of Imam Fode Drame outside lecture times is also prohibited.
*
Yes
No
I acknowledge that I am responsible to obey safety precautions as listed in writing via email and as explained verbally.
*
Yes
No
I acknowledge that taking pictures or recording in the bedrooms and/or washrooms is prohibited.
*
Yes
No
By attending the retreat, I will cooperate with the administrators and volunteers.
*
Yes
No
By attending the retreat, I understand that I am surrounded by nature and I will respect the surrounding landscape and wildlife.
*
Yes
No
By attending the retreat, I forfeit all right to bring a suit against Zawiyah Foundation, Zawiyah Foundation’s administrators, and volunteers for any reason.
*
Yes
No
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