LSR Registration | The Lonestar Retreat

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First name*

Last name*

Preferred Name*

Address*

Phone*

Email*

Facebook Name

Instagram Name

Youtube Name

How would you prefer to be contacted?*

Facebook Messenger

Email

Text Message

Birthday*

Month

Day

Year

Roommate Choices*

Do you need a handicap accessible room?*

Yes

No

Are you able to climb stairs*

Yes

No

Dietary Allergies (not preferences)*

Medical Conditions*

T-Shirt Size*

Small

Medium

Large

XL

2XL

3XL

4XL

Other

What is your main craft?*

What other crafts do you do?*

Do you have a shop?*

Yes

No

Shop Name*

Are you planning to be a vendor?*

Yes

No

Maybe

1st Emergency Contact*

Phone

2nd Emergency Contact*

Phone

What type of retreat?*

Full Retreat - Room, Meals, Swag ($550)

Jerry Rate - Room, Meals, No Swag ($480)

Commuter Rate - No Room, Meals, Swag (350)

Single Room - Room to yourself, Meals, Swag ($632)

We reserve the right to refuse attendance and participation to anyone, for any reason .

All photos used were taken by attendees of the Lonestar Retreat.

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