REGISTRATION FORM

Stitcher’s Hideaway
WINTER ESCAPE!

Sunday through Thursday, February 18-22, 2018
at the
Publick House Historic Inn
Sturbridge, Massachusetts

Choose your own two-day Winter Escape
and then add on up to 3 more days!

Your two-day Winter Escape (2 days is the minimum) costs $260. Each additional day will cost $125.  Registration includes both lunch and dinner each day. A non-refundable deposit of $50 is required for each day you register.  Your final payment must be made by January 15, 2018.  You may pay in increments if you’d like.

Indicate below which dates you will be attending:

_____  Sunday, February 18, 2018
_____  Monday, February 19, 2018
_____  Tuesday, February 20, 2018
_____  Wednesday, February 21, 2018
_____  Thursday, February 22, 2018

Fees for the retreats do not include lodging. You must make lodging arrangements separately. You are not required to stay at the Publick House.

Payment may be made by check or money order in U.S. funds (foreign checks are not acceptable due to excessive processing fees), or you may use PayPal for credit card or other e-payments.  Make check or money order payable to “Stitcher's Hideaway.” Complete form, print out and mail with payment to:   Sue Donnelly, 172 Birch Street, Manchester, CT 06040.

If you prefer to use the PayPal payment option, return to the home page for instructions. If you are using Paypal, your completed registration form below must be received within one week of your Paypal transaction in order to retain your seat in the class.

Name:______________________________________________________________

Address: ____________________________________________________________

City: ___________________________ State: _____________ Zip: _______________

Day Phone: __________________ Evening Phone: _____________________________

Cell Phone: __________________ E-Mail: ___________________________________

Please advise of any food allergies or special dietary needs:  ___________________________

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

Registration Policies:
- 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 for the 2018 Winter Escape Retreat
All requests for cancellation must be made in writing (email accepted).  Please note that deposits ($50 per day) are non-refundable. A refund of money beyond what you paid for your deposit will be given after the retreat is held. Please be aware that there will be no refunds for cancellations that occur after January 15, 2018.  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: ______________
___