Tulip Poplar Bark Basket Workshop - Registration and Payment

Name:*

First NameLast Name

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Address:

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Emergency Contact Name:*

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Enter Your Online Payment Amount: (After you click "submit" on this registration form you will be redirected to a separate, secure payment page)

USD$75; (free for ages 12 and under)

Would you like to receive the Rolling Ridge Study Retreat email newsletter to hear about other upcoming events?

Yes, please!Not at this time, thanks.

Liability Waiver:*

Checking here counts as my personal authorization and signature.

In consideration of permission to participate in activities during Tulip Poplar Bark Basket Workshop taking place June 8, 2024 on land known as Rolling Ridge Study Retreat and Rolling Ridge Conservancy, I hereby take action for myself as follows: 1. I agree to indemnify, defend, protect, and hold harmless Rolling Ridge Study Retreat, and the Rolling Ridge Conservancy, all retreat staff, volunteers, officers and directors, from and against all claims, judgments, demands, suits, costs, damages, and liability (including without limitation reasonable attorneys’ fees and litigation costs) arising from, related to, or in connection with the occupancy of the premises or participation in any retreat program located at Rolling Ridge Study Retreat. 2. I recognize that wilderness retreats by their nature may expose participants to risks inherent in the environment, hence I voluntarily assume these risks and agree to indemnify and hold Rolling Ridge Study Retreat, and Rolling Ridge Conservancy, all retreat staff, volunteers, officers and directors, free and harmless, from any liability for any loss, damage, injury or harm made, incurred, or sustained while using and encountering the natural resources of the property and adjoining wilderness areas, including, but not limited to rivers, streams, ponds, trees, wildlife, rocks and trails.

Any Other Order Comments and Special Instructions: