Blue Ridge Retreat Registration Form
Event Timing: 4:00pm ET Friday, May 29th - 11:00am ET Sunday, May 31st, 2020
Event Address: SevenOaks Retreat Center in Madison, Virginia
Retreat Contact: (434)270-1550 or
Email address *
Full name *
Your answer
Preferred Email *
Your answer
Preferred Mailing Address *
Your answer
Affiliation or Other
Your answer
You are:
Dietary restrictions *
Any requests related to handicap-accessible rooming and/or restroom accommodations, please let us know:
Your answer
Any requests related to cis-gender rooming and/or restroom needs, please let us know:
Your answer
Regarding room and bathroom accommodations: All rooms are single occupancy. If you prefer to share a room with someone, tell us who that person is here:
Your answer
Please provide an emergency contact for the retreat, including first and last name, relationship to you, email address, and phone number *
Your answer
I would like to communicate with the leaders about arrival and/or departure times, travel arrangements, or other details prior to receiving the invoice to complete registration. *
I understand that I will receive an electronic invoice at my preferred email address for $350 deposit to reserve my retreat spot. I understand that my spot will not be reserved until the deposit is paid. I understand that the balance will be due one month prior to the retreat. *
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