Name *
Name
Address
Address
Medical Release *
A participant’s policy must cover any costs incurred. I understand that every precaution is taken to protect the safety of each participant. I agree to emergency treatment by a physician or hospital in the event that it is necessary and agree to release all personnel for any liability in connection with this activity. I do grant permission for transportation in case of an emergency. Typing your name will constitute your signature and agreement.
Photo Release *
I give permission for photos taken during the retreat to be used by Tricia Robinson Art for promotional purposes. Typing your name will constitute your signature and agreement.

Available retreat spots held on a first come-first serve basis. I do plan for a waiting list. 

More details upon confirmation of reservation. For reservation and payment please see link. Refund of 1/2 rate will be given for emergency cancellation by September 22, 2015. After September 22, no refunds. I appreciate your understanding.