Inkin’ Elite Retreat Registration
March 17, 18, 19 2017 (Stay the night on Sunday March 19th for an additional $100 - optional)
Pocaterra Inn in Canmore, Alberta
Full Name: ______________________________________________
Address:________________________________________________
_______________________________________________________
_______________________________________________________
Telephone #:_____________________________________________
Email:__________________________________________________
Retreat Registration Fee $295 (non-refundable)
Stay an extra night on Sunday, March 19, 2017 (optional) $100:_________
Stampin' Bingo (optional) $40:_________
Lift Me Up Card Class (optional) $40:_________ OR $75:_________
Method of payment:
________Cash _______Cheque _______Email $ Transfer
Allergies:
__________________________________________________________________________
Cancellations: There are no cancellations or refunds.
Preferred Roommate: ___________________________________________
Emergency Contact:_____________________________________________
I ___________________(print your name here) understand that by submitting this signed form as well as my registration fee for the Inkin' Elite Retreat I am registered for the event on the dates listed on this contract and cancellations will not be accepted. There will be no refund of my registration fee if I cannot attend. Should I not be able to make it, I may make alternate arrangements for another person to go in my place, but I will be responsible for recovering my original registration fees from the other person. I also understand that the tools supplied by Allison Okamitsu are her personal business supplies and I will treat them with care and respect. I use these tools at my own risk and will not hold Allison Okamitsu responsible should I sustain any personal injuries or waste/ruin my own personal supplies while using them. There will be personal instruction available from Allison Okamitsu on the correct use of these tools and I will ask for assistance before proceeding. Allison Okamitsu will not be held responsible or liable for any damaged, lost, or stolen items for the duration of the retreat, nor will she be held responsible or liable for my personal safety, health, or well being while attending the retreat. I am responsible for my own transportation to, from, and during the event. Should the event have to be rescheduled or cancelled due to circumstances beyond her control (fire, major weather event, major life event) I understand that Allison Okamitsu will not be held responsible.
Signature: __________________________ Date:_____________
