Request edit access
Art on the Blue Ridge at Wildacres Retreat 
Event Registration for October Session 
Sign in to Google to save your progress. Learn more
Name  *
Email  *
Phone Number  *
Please select a class.  *
Double Occupancy is required for lodging at this event.  Do you have a specific individual attending with you that you would like to room with?  If so, please provide their name below.  If not a roommate will be thoughtfully assigned to you. 
Do you have any Dietary Restrictions we should know about? 
I understand that an invoice will be sent to me upon receipt of this form and that the invoice must be paid within 10 days of receipt in order to reserve my spot. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report