Friday 8 - Sunday 10 July, Paradise Valley Lodge, Rotorua.

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Email *
First name *
Last name *
Phone *
Address *
In case of emergency contact *
Name, relationship, phone number
How did you hear about this event? *
Do you have any dietary requirements? *
Are there any physical or mental health conditions that might affect your participation? *
Any non-food related allergies or medications to be aware of in a medical emergency?
Retreat investment choice *
Payment *
Account number: 12-3449-0822251-00 Account Name: The Sparkles Project Reference: Retreat
I understand the Terms and Conditions *
* Reservations are officially confirmed upon your registration being successful and your payment being received. If your application is unsuccessful your initial investment will be returned back to you.                                                                                    * Cancellations received with thirty (30) days notice will be refunded in full, less a $210 cancellation and administration fee.         * Cancellations received with less than 14 days notice are subject to a 50% forfeit of total booking cost.                                          * Cancellations less than 7 days or no-shows will forfeit 100% total booking cost.                                                                             The right is reserved for The Sparkles Project to make exceptions to this policy for extenuating circumstances.
I have read the below release and waiver of liability and fully understand its contents. *
1. In consideration of being permitted to participate in the Retreat, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the retreat, including any travel and any or all activities done with The Sparkles Project or its contractors, or as an individual at the accommodation and facilities provided.                                     2. In further consideration of being permitted to participate in the Retreat, I knowingly, voluntarily and expressly waive any claim I may have against The Sparkles Project, staff and contractors or injury or damages that I may sustain as a result of participating in the retreat. I, my heirs and legal representatives forever release, waive, discharge and covenant not to sue The Sparkles Project for any injury or death caused by their negligence or other acts.
A copy of your responses will be emailed to the address you provided.
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