TO REGISTER for the May 2019 Bay St. Louis, MS UNDER THE FLOWER MOON RETREAT, please complete the following information:

NAME *
NAME
CELL PHONE NUMBER *
CELL PHONE NUMBER
ADDRESS *
ADDRESS
http://
SLEEPING ARRANGEMENT OPTIONS *
Please select one or more of the options below.
TELL US A BIT ABOUT YOU: *
For purposes of room sharing, please check as many that apply.
Please list any food allergies or dietary restrictions below.
A $500 USD retainer fee is necessary to reserve your workshop seat. Upon receipt of registration form, a Paypal invoice will be sent within 48 hours to the email address listed above. Payment is due within 24 hours and is non-refundable. The second payment of $500 is due February 1st and the remaining $500 balance is due April 1st (invoices will be emailed and payments are due within 24 hours). In case it is necessary to cancel, you may find another photographer to sell your seat to but all payments are non-refundable. TO ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTAND, AND AGREE to the above-listed terms and conditions, please digitally sign (type) your full name below.
Date *
Date