2024 Sea, Sand & Soul Nordic Walking Women's Getaway

Registration Form

Sea, Sand & Soul Fitness Getaway -- P.E.I., September 5-10, 2025
To register:
1. Complete this registration form.
2. Then, etransfer a $500 downpayment (non-refundable) to
3. Spots are filled on a first-come-first-served basis. (There are just 25 available.)
4. The balance is due before June 1
5. EARLYBIRD BALANCE OWING is:
  
  - Shared room = $ 3,069 incl 15% HST PEI
  - Single room = $ 3,399 incl HST PEI
  
  This payment is NOT refundable on or after June 1. We highly recommend purchasing both health insurance and travel insurance.
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cellphone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email
Barb123@bell.net
My birthdate is:
My age on September 5, 2025 will be:
Emergency Contact Person
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I attended a previous yearUrban Poling newslettersocial media promotionNinaBarba friendOther
Allergies
Note your allergy/allergies or food sensitivities here:
Dietary Status
I am vegetarianI am vegetarian, but I eat fish/seafoodI am vegan
Accommodation
SHARED room (2 beds) shared with one friend*SHARED room (2 beds) shared with one participant Nina & Barb will connect me withSINGLE roomI'm part of a GROUP of friends, and we would like our own cottage (with one or two shared rooms, 1 person per bed, and one single room). I'd like the SHARED room.*I'm part of a GROUP of friends, and we would like our own cottage (with one or two shared rooms, 1 person per bed, and one single room). I'd like the SINGLE room.*
*If you are sharing with a friend/friends, note their name/s here. (We will contact you to sort out details.)
Fitness Information
slow to moderate pacemoderate to fast paceI haven't Nordic walked beforeI am a Nordic walking instructor
slow to moderate pacemoderate to fast pace
My height (for bike sizing)
What is your height in feet and inches?
e.g., 5 feet 4 inches
Policies & Waiver
It is your responsibility to read and understand the following information before registering for this event and before signing below:
INCLUSIONS/NON-INCLUSIONS: No one books a holiday with plans to cancel it, but unexpected things can happen. We highly recommend you purchase travel insurance and trip cancellation insurance once you have registered. Barb Gormley/CustomFit Personal Training and Catharina (Nina) LePage are not responsible for any of your expenses incurred in preparation for the Sea, Sand & Soul Women's Nordic Walking Getaway, such as airline tickets, loss of work, and/or other costs associated with preparing for your trip. The price of this event covers the fitness activities, accommodation and meals as clearly described. Transportation (between airport and hotel) and any hotel, meal or other expenses incurred before dinner on September 5 or after breakfast on September 10 are not included in the cost of this event and are paid separately by you. One restaurant lunch is also paid by you. I understand and agree to these terms.
CANCELLATION POLICY: Your $500 downpayment is non-refundable. The balance of your fee is due by June 1 at the latest. This balance fee is non-refundable. However, if you are able to find a person (not already in our database of interested parties) to attend in your place, your balance fee minus a $500 administration fee will be refunded.

I understand and agree to these terms.
WAIVER & RELEASE: Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death. We are also not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge Barb Gormley/CustomFit Personal Training and Catharina LePage from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against Barb Gormley/CustomFit Personal Training and Catharina (Nina) LePage for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.
What questions or comments about the retreat or these documents do you have? Ask them here, or contact us by phone (Barb 416-543-2606, Nina 613-290-4285):

CONFIRMATION: By signing below, I am confirming that I have carefully read this agreement -- the INCLUSIONS/NON-INCLUSIONS, CANCELLATION POLICY, WAIVER & RELEASE -- and that I fully understand it and am voluntarily executing the same. I confirm that the above information describing my physical activity readiness is true and accurate.

Use your cursor or finger to sign below.
Should be Empty:

Registration Form

Emergency Contact Person

Allergies

Dietary Status

Accommodation

Fitness Information

My height (for bike sizing)

Policies & Waiver

Health Information