YA GARDEN Trip

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NAME* This field is required.
First Name
Last Name
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EMAIL* This field is required.
example@example.com
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PHONE NUMBER* This field is required.
Please enter a valid phone number.
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SEX* This field is required.
Please Select
Please Select
Male
Female
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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)
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ROOMMATE REQUESTIf 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.*
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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.*
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ORDER SUMMARY
Processing FeeUSD
SubtotalUSD
Total costUSD
Garden Trip - Single OccupancySeparate Room
$260.00Edit
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Garden Trip - Double OccupancyShared Room, Separate Beds
$195.00Edit
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Garden Trip - 3-4 OccupancyShared Room, Shared Beds
$165.00Edit
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Total cost $0.00
Credit Card
First Name
Last Name
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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.
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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.
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