WILD WOMEN'S WINTER CAMP
Women age 17+ welcome. We also welcome babies in arms (not yet crawling).
Full Name of Adult
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First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
If your baby is not walking yet you are welcome to bring your baby. Are you bringing a baby with you on 'Wild Women's Winter Camp'?
YES
NO
Name of Baby attending camp
First Name
Last Name
Age of Baby at the time of camp
At times the nature of this event (self enquiring into your past) means that it is not a safe-enough space for everyone. If you have trouble caring for yourself in groups or setting and sticking to your own boundaries regarding participation (what you will and won't do), or you experience distressing dissociation, psychosis, or extreme mood states, then this event is not suitable for you at this time. Please tick the box below to confirm you understand the nature of this event and have considered it's suitability in terms of your own safety and well being. If this answer does not apply to you, you cannot make a booking for this camp
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I don't experience the above issues and I feel confident this event is suitable for me
EMERGENCY CONTACT PERSON #1 NAME
*
EMERGENCY CONTACT PERSON #1 PHONE NUMBER
*
Emergency contact person #1 RELATIONSHIP TO YOU
*
EMERGENCY CONTACT PERSON #2 NAME
EMERGENCY CONTACT PERSON #2 PHONE NUMBER
Emergency contact person #2 RELATIONSHIP TO YOU
FOOD REQUIREMENTS
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VEGAN
DAIRY FREE
GLUTEN FREE
NONE
FOOD ALLERGIES (not preferences)
MEDICAL ALLERGIES
ARE YOU ON ANY MEDICATIONS. IF SO PLEASE LIST
ARE YOU OK TO CRAFT WITH ANIMAL PRODUCTS ie leather or feathers
YES
NO
Is there anything else you would like to share with us that will help us to care for you while on the 'Wild Women's Winter Camp'?
TERMS AND CONDITIONS OF BOOKING. *The customer is required to pay a non-refundable, non-transferable deposit of $225 for each adult named in the reservation. By making payment of this deposit or full payment, you (the customer) are accepting The Re Wilding Experience 'WILD WOMEN'S WINTER CAMP’ Terms and Conditions.*If you choose to pay by payment plan you agree to signing up to our payment plan option EZYPAY and making FORTNIGHTLY PAYMENTS OF $100 per person to complete your payment. *In the event of cancellation by you, the customer, regardless of the circumstances, the following refund fees apply:~Cancellation 2 weeks or less before due arrival date, 0% refund~Cancellation between 2 to 4 weeks before due arrival date, 25% refund not including the deposit~Cancellation between 4 to 6 weeks before due arrival date, 50% refund not including the deposit~Cancellation between 6 to 8 weeks before due arrival date, 75% refund not including the deposit~Cancellation more than 8 weeks before due arrival date, 100% refund not including the deposit~We reserve the right to change or cancel scheduled retreats and shall inform you as soon as possible. You (the customer) may transfer your full payment to another retreat/camp date within a 12 month period, pending availability or receive a full refund. We do not accept responsibility for any costs incurred, including travel bookings, accommodation or airfares. We reserve the right to change the Retreat/Camp location due to unforeseen issues. If any essential information changes, you (the customer) will be informed as soon as possible.
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I AGREE
How did you hear about us?
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Please Select
FACEBOOK
INSTAGRAM
EMAIL
WORD OF MOUTH
POSTER
WEBSITE
Thank you for making your booking. After you Submit below, you will be directed to our Payment Plan system with EzyPay.
If you do not complete the Payment Plan application your booking will not be complete.
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