Deep Water Registration
Friday, February 28 through Sunday, March 2, 2025. Registration closes on Monday February 24, 2025.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who invited you to Deep Water?
First Name
Last Name
Weekend Anticipation
What do you hope to get out of the weekend?
*
What fears or reservations do you have about the weekend?
*
Are there any other things that you would like staff to know about you before the weekend begins?
*
Travel Accommodations
A staff member will work to coordinate any carpool and travel arrangements at least three days prior to the weekend.
Would you be interested in carpooling?
*
Yes
No
Other
Would you be willing to drive?
*
Yes
No
Travel Needs
Dietary Preferences
Please let us know your dietary preferences/needs. The retreat center where we will be staying, Tillikum, is very accommodating in regards to dietary preferences.
Dietary Preferences
Vegetarian
Vegan
Gluten free
Dairy Free
We are able to accommodate the following medical dietary restrictions:
No Eggs
No Peanuts
No Sugar
No Tree Nuts
Pescatarian (eat fish; no other meat)
No Beef
No Pork
No Soy
Other
Other dietary needs
Medical Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any known health conditions or allergies
Your age
*
Payment
Payment can be made by check on Friday.
Submit
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