Registration Form--Knit Maine

Registration Form

KNIT MAINE
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
How did you hear about us?
Have you attended a K&YA Retreat in the past? If yes, which one?
Please list any medical concerns/medications. If none, type "None".
Please list any dietary restrictions/requirements. If none, type "None".
Anything else you would like to share?
Please list two (2) Emergency Contacts with Phone
Room Choices

Please make 3 different selections.
Please Select 1st Choice Rooming Option (price is per person for the all 3 nights)*

Double with Bath $450 per personQuad with Bath $400 per personDouble (near central washroom) $350 per personTriple (near central washroom) $300 per personDorm (near central washroom) $250 per personDay Student $225
Please Select 2nd Choice Rooming Option (price is per person for the all 3 nights)*

Double with Bath $450 per personQuad with Bath $400 per personDouble (near central washroom) $350 per personTriple (near central washroom) $300 per personDorm (near central washroom) $250 per personDay Student $225
Please Select 3rd Choice Rooming Option (price is per person for the all 3 nights)*

Double with Bath $450 per personQuad with Bath $400 per personDouble (near central washroom) $350 per personTriple (near central washroom) $300 per personDorm (near central washroom) $250 per personDay Student $225
Rooming together? Please list roommates, If not, you will be assigned to a room.
Are you interested in taking the shuttle bus from Portland to Deer Isle? Selecting Yes or No indicates interest and does not commit you either way.

YesNo
Should be Empty:

Registration Form

Room Choices