Spring Wine Retreat Application Sat April 21
We are heading up for the weekend to do some wine tasting and be out of LA in a gorgeous area, so let us know if you want to meet us for the day or would like to book a room for the night! :)
Email address *
What is your full legal name? *
What is your cell number? *
What part of Los Angeles do you live? If you aren't in LA, which city do you live in? *
How old are you? *
How did you hear about the Wine Retreat? *
Who can we thank for referring you? (write NA if not applicable to you) *
Do you consider yourself social and likable? *
Is there anything we should know about you that might impact your trip, such as physical or other concerns or limitations, medical issues, etc? *
Indicate your roommate preference if staying overnight; otherwise we will select a great one for you (same gender).
A fee of $70 is asked to hold your spot if you are joining us in the group van in Solvang (ask if there is room before payment) including tastings, or $36 if joining just for tastings. To include lunch, add $20 and indicate your meal preference. *Payment- Venmo @jenbombs full amount after submitting this form to reserve your place. Please note that your fee is non-refundable as we have to pay vendors in advance. *
Meal preference: Picnic Lunch- select one item from this menu! We will be getting chips/drinks as well. Indicate any food allergies or items to be removed if applicable. http://www.losolivosgrocery.com/lunch *
Legal- Liability waiver, hold harmless, photography release. *Effective from the date of purchase and through April 22, 2018 (the "Term"), you (hereafter "You" or "Your") agree to waive any and all claims of liability against Jenny Apple Matchmaking (JAM), and to hold JAM harmless, in connection with the Spring Wine Retreat taking place from April 20-22, 2018 (the Retreat) or April 21, 2018 Saturday Wine Tasting. JAM is solely organizing the schedule and local transportation for the Retreat and as such has no direct or indirect affiliation with any of the locations, activities, vendors, or persons (individually a Party and collectively Parties) encountered during the Term. Any such claims of liability by You against a Party may only be filed with that specific Party. Furthermore, during the Retreat You are expected to exercise responsibility and good judgment with respect to Your consumption of alcohol, Your conduct towards other Retreat participants or any of the Parties, Your own safety, and the safety of others. Any violation of the preceding shall cause You to be banned from future JAM events. For the avoidance of doubt, you agree to indemnify JAM and the Parties for any damages caused by You during the Term. In addition, I grant to Jenny Apple, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Jenny Apple Matchmaking, its assigns and transferees to copyright, use and publish the same in print and/or electronically.I agree that Jenny Apple Matchmaking may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.* Please note, no transportation will be provided by JAM to or from Solvang, CA. For the sake of greater clarity, group transportation will be provided only during Saturday's day time activities such as the wine tasting portion after breakfast until late afternoon after the last tasting is over. *
Any suggestions for future events or locations you would love to visit with a group?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy