Retreat Guest's Information

Retreat Guest Information:

Hold your place with a simple deposit —we can't wait to welcome you.
Today's Date:

MonthDayYear
Date
Contact Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
How did you hear about us?
Other
Are you a mom?*

Pricing Options:*
Price Plans:*
Which payment plan?*
Would you like to add-on the optional Tennis Experience with H2O for just $130 per person?*
To help us personalize your experience, please let us know which ONE of the following included spa services you would like to enjoy during the retreat: *
I acknowledge that I am submitting a $500 non-refundable deposit to secure my spot on Off Duty: A Mom’s Retreat.*
I understand that all payments made toward Off Duty: A Mom’s Retreat are non-refundable due to the nature and planning requirements of this retreat.*
May we use photos/videos we take of you on the retreat on our social media?*

My Products

Private Room – Your Own Sanctuary - Regular

$3,000.00 Quantity

Private Room – Your Own Sanctuary - Last minute (starts March 1, 2026)

$3,250.00 Quantity

Shared Room – Rest, With Gentle Company - Regular

$2,500.00 Quantity

Shared Room – Rest, With Gentle Company - Last minute (starts March 1, 2026)

$2,750.00 Quantity

Shared Room – Group Discount (per person)

$1,500.00 Quantity

Total

$0.00

Credit Card

I understand this contract for services entered between Off Duty: A Mom's Retreat and myself is legally binding and I affirm that the above information is accurate.

Off Duty: A Mom's Retreat will provide the following services on April 24, 2026 - April 27, 2026 at the Reeds at Shelter Haven.

I understands that the event will begin at the time of 3 PM on April 24, 2026 and end at the time of 12 PM on April 27, 2026.

Services Selected Include:

Event Name:		Off Duty: A Mom's Retreat
Deposit(non refundable)		$500.00
Balance		Due: $500.00

Paying Client*

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