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First Name

Last Name

Cell Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Emergency Contact Name

Emergency Contact Relationship

Women's Tee Shirt Size (Unisex Fit)

Emergency Contact Contact Number

Women's Tank Size (Loose Fit)

Sweatshirt Size (Unisex)

Medical Conditions, allergies, injuries/limitations

Arrival date/time and how are you getting to the cabin

Departure date/time and how are you getting to the airport (Hartsfield-Jackson) if applicable

Do you have a roommate preference?

Any additional information that would be helpful in planning or special requests

If you could pick one thing to include in this weekend, one thing you would like/hope for/enjoy doing, what would it be? Be realistic :)

BIO:

This will be shown to other attendees via an attendee weekend workbook. We would love for you to share all information, but understand if you'd prefer privacy.

Preferred Name

Location (City, State)

Contact Email

Social Handles

Occupation

Hobbies

Professional and personal bio. Please write this as a paragraph as if you were being introduced for a speaking or professional engagement.

What are you most excited about for this weekend?

Food Preferences & Dietary restrictions:

Please answer the following questions below to help us cater to your restrictions and preferences as much as possible.

Check all that apply

Gluten Allergy / Celiacs

Gluten Intolerance

Dairy Free

Vegan

Vegetarian

Other (list below)

Dietary Restrictions

Check all that you WILL eat (Fruit +Veggies)

Strawberries

Pineapple

Blueberries

Raspberries

Blackberries

Grapes

Watermelon

Cantaloupe

Honey Dew

Celery

Baby carrots

Cucumbers

Bell Peppers

Cauliflower

Broccoli

Baby tomatoes

Greek Yogurt Ranch Dip

Greek Yogurt French Onion Dip

Spinach Dip

Fruit Dip

Check all that you WILL/WANT to eat (Breakfast)

Coffee

Tea

Orange Juice

Milk

Creamer

Sugar

Assorted Fruit

Mini Muffins

English Muffins

Bagels

Cream Cheese

Peanut Butter

Strawberry Jam

Grape Jam

Toast

Egg Bites

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