Philly Reboot. Reconnect. Refocus 2027 Registration

Philly Reboot. Reconnect. Refocus 2027 Registration

Please fill out this form with information for you and your spouse.
April 23-April 25, 2027
Hotel Accomedations

301 W. Dekalb Pike | King of Prussia, Pa 19406

www.thealloyhotel.com
Full Name

First NameLast Name
Spuse's Full Name

First NameLast Name
E-mail
example@example.com
Spouse's E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Spouse's Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates Attending
Dietary Restrictions: *Please include any necessary information for catering services

Other
The full price of the weekend retreat is $650.

A Non-Refunable $100 deposit is required to secure your spot for the retreat. Flexible registration payment plans are available.

*Please note that no cash refunds will be issued. All payments are non-refundable but may be applied as a credit toward the next retreat.

*To secure the early registration rate, all fees must be paid by October 1, 2026. If your registration is not paid in full by October 1, 2026, it will automatically convert to the late registration rate of $700.

*No payments will be accepted after February 1, 2027.
Do you agree to have photo and video footage of you and your spouse shared by the Reboot. Reconnect. Refocus Team for marketing purposes?
Click this link below to pay your deposit

https://square.link/u/DcfSD7aB
Should be Empty: