Please print out this form, fill it out and mail it to: Grandma’s Spinning Wheel, 6544 E. Tanque Verde Rd., Suite 150, Tucson, AZ 85715 OR you may scan your filled out application and email it to: email@example.com. You might also prefer to call us with your credit card information rather than send it via email.
Registration form: SHEEP THRILLS V
Mailing Address: __________________________________________________________
Phone: _________________ E-mail: ___________________________________________
Please let us know about any special needs or dietary restrictions you may have:
Registration includes five full meals.
I will be rooming with: ________________________________
Or, surprise me (we choose your roommate)
Retreat fees: $275.00 which includes 2 nights in the cool foothills of Prescott, 5 full meals, a T-shirt, fiber-related activities and door prizes. A non-refundable deposit of $100.00 will confirm your reservation, with the balance due by July 1, 2016. There will be NO REFUNDS unless we can find someone to take your place. If, for any reason, Grandma’s Spinning Wheel has to cancel the event, a full refund will be given to each participant.
Man’s T-shirt size: sm, med. lrg. XL XXL XXXL
Method of payment: Check Visa Mastercard Card Number___________________________________
Expiration Date: _____________ Security Code: _______
Amount charged: $________________ Authorized signature: _______________________
Cardholder’s printed name: _______________________________
MEDICAL EMERGENCY INFORMATION
Your name: ______________________________________________________________________
Your Doctor’s name & phone: ________________________________________________________
Medication Allergies: _______________________________________________________________
Other Allergies: ___________________________________________________________________
Name: _____________________________________ Relationship: __________________________
Phone: __________________________________ Alternate Phone: __________________________