June 2019 Southern Highland Yarn and Yoga Retreat
Registration Form for the June 13-16, 2019, retreat at Parker Ranch in Clayton, Georgia
Name *
Enter Your First and Last names here
Email address *
Please enter the email address you'd like us to use for communications about the retreat.
Mailing Address *
Phone Number *
Room Preference *
Please indicate your preference for a private or double (shared) room.
Roommate Request
Are you planning to attend with one or more friends? Please enter the names of your preferred roommate(s) here.
Special Needs: Mobility
Do you have special needs in terms of mobility? Please describe below with any details.
Special Needs: Diet *
Do you have any particular dietary needs or restrictions? Please indicate them here.
If you indicated food allergies, please describe them in detail
Other Information
What else should we know about your participation? (Late arrival/early departure, etc.)
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