Writer's Sanctuary Retreat Registration Form
What is your first and last name? *
Your answer
What is your email address? *
Your answer
What is your mailing address? *
Your answer
What is your cell phone number? (To be used in case we need to contact you during travel.) *
Your answer
Which option are you registering for? *
Do you want to be scheduled for a one-on-one critique/brainstorming session with C.J.? *
30 minute critique session will cover first 10 pages or 1 query. You will be invoiced a separate payment of $25 if you choose to use this service.
Do you have food allergies? If so, please list them below. We will do our best to accommodate all allergies, and will publish a menu beforehand, but if you know that you have difficult to avoid allergies, please feel free to supplement the provided meals with additional food of your own.
Your answer
Will you need to be picked up from the Knoxville airport? *
Your answer
From which email address will your Paypal non-refundable $100 deposit be submitted? *
Your answer
By marking "yes" below, you acknowledge that this is a voluntary activity, and that C.J. Redwine and her staff are not liable for any injury, death, theft, or damage to personal property. You further acknowledge that the $100 deposit is non-refundable, and that to keep your spot in the lodge, all payments must be made in full and on time. Persons between the ages of 14-17 may not attend without a parent, and both the parent and the minor must pay the full registration price for their room of choice. Persons under the age of 14 are not permitted. *
Once you submit this form, you must send in your non-refundable $100 deposit to complete your registration and secure your spot. The Paypal button for this is located on the sidebar of the website's page.
Your answer
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