Registration Form
Name: Address:
City: State:
Zip Code: Phone Number:
Email: T-Shirt Size:
Retreat Date: Check: (     )   Money Order (     )
Your cell phone number: Are you interested in a massage? YES (      )  NO (     )
If "YES", would you like a 30 minute (   ) or 1 hr (   ) massage?
Please list an emergency contact for you while you are at the retreat:

 

Please list the names of your scrappin' buddies that you want to room with:

 

  
   

When mailing registration form in, be sure to include your required deposit (non-refundable) of $100.00 and mail to:
Sheri Smith, 208 Chrestman Lane, Combine, TX 75159-6022 (972) 476-6633 Home (972) 754-1314 Cell
Transfer fee: $35 - Only transferred to another retreat in the same year. Non-transferrable to other croppers.
Please make all monies payable to: Sheri Smith.

Early Bird pricings of $225.00 must be paid no later than indicated due date to quality for discount.

I reserve the right to cancel any retreat that does not meet the minimum requirement of 12 guests.