Waitlist for 2019 Spring Retreat
If we contact someone that a waitlist spot is available, you will have 72 hours to accept the spot and pay before we move on to the next name on the waitlist.
Name *
Your answer
Instagram Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Are you a current member of Portland Modern Quilt Guild in good standing? As of 3/18 the retreat is open to non-members for an additional $35. *
Name of Emergency Contact *
Your answer
Phone Number of Emergency Contact *
Your answer
Do you agree to abide by Camp Tilikum’s No Smoking/No Alcohol rules? *
Will you require Special Meals while at Camp Tilikum? (gluten free, vegetarian, dairy free, etc?) There is an $8 fee to have Special Meals during your stay *
If you are ordering Specials Meals, you are responsible for sending in the following form to PMQG by April 1st, 2019.https://camptilikum.org/wp-content/uploads/2017/11/Medical-Diet-Form-2017.pdf
Please check that you understand that refunds for cancellations will only be provided if your space is able to be re-sold. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.