West Virginia Retreat Terms & Conditions
Please Check Mark & Sign Below.
Please check each box and sign after thoroughly reading our retreat Terms and Conditions:
*
I agree to the retreat terms and conditions.
I agree that after August 16th, no refunds will be made unless there is a positive covid test.
I am 18 years or older. If not 18, please obtain legal guardian's name and signature below.
For Guests Under 18
Name of Minor
First Name
Last Name
Legal Guardian's Name
First Name
Last Name
Legal Guardian's E-Signature
For Guests 18+
Your Name
First Name
Last Name
Your Email
example@example.com
Emergency Contact Info
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship with Emergency Contact
*
Please Select
Parent
Sibling
Spouse
Friend
Other
Your E-Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
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