REGISTRATION FORM

SPOOKY RETREAT
Mystic, CT
October 26-27, 2012
RETREAT IS FULL! REGISTRATION HAS CLOSED!

The cost of registration is $180 ($170 for Stitcher’s Hideaway Alumni). A deposit of $100 must accompany your registration form, with the final payment of $80 ($70 for alum) due on September 1, 2012.  Make check or money order payable to “Stitcher's Hideaway”. Complete form, print out and mail with deposit to:  Sue Donnelly, 172 Birch Street, Manchester, CT 06040.

If you prefer to use our PayPal payment option, return to the main page of the website for instructions. Fees for Stitcher's Hideaway do not include hotel. You must make hotel arrangements separately.

Name:__________________________________________________________________________________

Address: _______________________________________________________________________________

City: ________________________________ State: _____________ Zip: _______________

Day Phone: ________________________________ Evening Phone: _____________________________

Cell Phone: _________________________________  

E-Mail: ____________________________________________________________________

Would you like to be matched up with someone requesting a roommate? _____ Yes                  _____ No

Do you have any food allergies or other dietary concerns?___________________________________________

Remember, in celebration of the 10th Anniversary of Stitcher’s Hideaway Retreats, if you have previously attended a Stitcher’s Hideaway Retreat, you can take $10 off your registration costs! Check here if you are an alum______

IMPORTANT - READ CAREFULLY

Registration Policies:
- Registrations must be accompanied by deposit of $100. You may send a check or pay through PayPal (see PayPal link on home page.)
- Registrations will be processed in order of date and time received.
- All registrations MUST include at least one telephone number.
- Confirmations will be sent by email as registrations are received.
- Please read and sign below or form will be returned to you, delaying your registration.

Cancellation Policy
All requests for cancellation must be made in writing (email accepted).
A refund will be issued only if your space can be filled, and there will be a $40 processing fee for cancellation --  no exceptions. Any refund will be issued after the retreat is held. Please be aware that there will be no refunds for cancellations that occur after October 1, 2012.  If the retreat is cancelled for any reason, you will receive a 100% refund.

I have read and agree to the above Registration and Cancellation policies.


Signature: ________________________________________________ Date: ____________________________