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Requested Weekend
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Alternate Weekend
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Bed Choice—Room
Preference:
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| Last Name:
First Name:
M.I.
|
| Street Address:
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| City:
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| State:
Zip:
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Home Phone:
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Cell Phone:
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| Email Address:
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| What time will you be arriving?
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| How did you hear about
us? |
Food or other allergies?
Please specify.
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Will you require special
dietary needs?
(Diabetic/Vegetarian)
|
| Friends you will be cropping with: |
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| Will you be scheduling
a massage? |
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| Will you be scheduling
a manicure? |
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Emergency contact person:
|
Emergency contact
phone number:
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Please
acknowledge that you read and understood the Holds
Harmless Policy by checking the box:
I hereby release Crème of the Crop Luxury
Retreat, LLC, its owner, and all representatives
from all liability and waive any claims against
the above stated from any injury or harm that may
occur, or may have occurred from my participation
in or presence at any Crème of the Crop Luxury
Retreat weekend. Further, I have read, and agree
to the policies listed under the Policy page on
Crème of the Crop website (www.cremeofthecropretreat.net).
I understand and agree that I am responsible for
personal belongings and agree that Crème
of the Crop will not be held responsible for lost
or stolen goods. I understand that submission of
this registration form online indicates agreement
to the above and serves as substitution for my signature. |
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