You can always press Enter⏎ to continue
YA GARDEN Trip
We're excited to have you join us July 29-30th on our trip to Atlanta to see GARDEN! Please note - payment is collected as part of this form.
9
Questions
START
1
NAME
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
EMAIL
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
PHONE NUMBER
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
SEX
*
This field is required.
Please Select
Male
Female
Please Select
Please Select
Male
Female
Previous
Next
Submit
Press
Enter
5
ROOMING OPTIONS
*
This field is required.
Single Occupancy (+$65) (separate room)
Double Occupancy (shared room, separate beds)
3-4 Occupancy (-$30) (shared room, shared beds)
Previous
Next
Submit
Press
Enter
6
ROOMMATE REQUEST
If you selected Double or 3-4 Occupancy, please type the name of your roommate request here (if you have one). *Married Couples - please indicate here that your request is your spouse.*
Previous
Next
Submit
Press
Enter
7
PAYMENT
*
This field is required.
Desktop View: click the arrows below to see all options.
*A 3% credit/debit card processing fee will be collected with your payment.*
prev
next
( X )
My Bag
0
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Processing Fee
USD
Subtotal
USD
Total cost
USD
Garden Trip - Single Occupancy
Separate Room
$
260.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Garden Trip - Double Occupancy
Shared Room, Separate Beds
$
195.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Garden Trip - 3-4 Occupancy
Shared Room, Shared Beds
$
165.00
+
Remove
Edit
Back
1
2
3
4
5
6
7
8
9
10
1
1
2
3
4
5
6
7
8
9
10
Quantity
Credit Card
First Name
Last Name
Previous
Next
Submit
Press
Enter
8
General Liability Waiver
*
This field is required.
I understand that I remain legally responsible for any personal actions. I agree on behalf of myself, heirs, successors, and assigns, to hold harmless and defend Echo Community, their officers, directors, agents and staff, chaperones, or representatives associated with the event, arising from or in connection with my attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate Echo Community, their officers, directors, staff, agents, chaperones, or representatives associated with the activity for reasonable attorney fees and expenses arising in connection therewith.
I agree to these terms and conditions.
Previous
Next
Submit
Press
Enter
9
Signature of Agreement
*
This field is required.
By signing below, you agree to all the terms and conditions listed in the above General Liability Waiver.
Clear
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
9
See All
Go Back
Submit