Giggles and Girlfriends Retreats

Retreat Date Requested (include year):
First & Last Name**:
What type of craft will you be doing? Quilting, Scrapbooking, Cardmaking, Beading, etc.**:
Street Address**:
City, Province & PostalCode**:
Phone and Cell Phone numbers**:
Known Allergies/Food Sensitivities:
Date of Birth (Must be over 18 years to attend) Include Year**:
Single or Group (if Group advise who will be joining you and rooming requests):
Emergency Contact Person and Phone Number**:
Email**:
I acknowledge that I have read and understood the cancellation/refund/liability waiver policy**:
I will be paying by Post Dated Cheques/Paypal or Interac Transfer**:

(** Required Fields)