MomChild Reunion Registration Form

Name

First

Last

Phone

Do you have a child in Spirit?

Yes

What is your child’s name?

Please provide the date of your child’s transition:

Describe briefly how your child passed:

What would you like to experience at this retreat?

Do you have any food allergies?

Please be specific and state whether the concern is a prefernece or an allergy. Note: All food will be prepared in a commercial kitchen that also processes wheat, nuts, etc.

Are you booking single or double occupancy?

If booking double occupancy, please provide the name of your roommate

Not sure who you will room with and would like us to match you with another mom? (For Double Occupancy Rooms Only)

** We can only help assign roommates for Double Occupancy rooms. Please identify any specific requirements you would prefer in a roommate.

Do you have any other questions or requests?

Do you accept our No Refund policy?

Please be sure to read or complete Terms and Conditions below!

Terms and Conditions

Cancellation Policy – WE ARE SORRY, BUT NO REFUNDS WILL BE GIVEN.We understand that no one books an event with the intention of cancelling it, but unexpected events do occur, so please consider purchasing travel insurance (see below). It is your responsibility to read and understand our cancellation policies.Exceptions cannot be made for any reason, including weather, injury/illness (including Covid-19), or personal emergencies. No refunds or credits for failure to attend or failure to complete the retreat, or for arriving late or leaving early.We encourage you to purchase trip cancellation insurance in order that your trip fees will be covered should you or your family have a medical problem prior to your trip or while on the trip. Trip insurance should also be purchased to cover medical expenses in the event you have an accident while on the retreat. Most travel insurance must be purchased within 14 days of making your reservation.Right to CancelEvent organizers reserve the right to cancel the event if a minimum number of participants is not met. Should the event be cancelled by the event organizers, all fees paid shall be 100% reimbursed to the participants who paid them. Notification of cancellation will occur at least 1 month prior to retreat start date.Paige W. Lee LLC and The MomChild Reunion cannot be held responsible for any personal expenses, such as airline tickets due to changes in itineraries or retreat cancellations, and are also not responsible for the loss or theft of any personal items during the event.MEDICAL ACKNOWLEDGMENT AND RELEASEParticipant hereby represents and warrants that Participant has sufficient physical and mental health and financial capability to travel to and from, and participate in, the Event in a healthy and safe manner without any adverse consequences to Participant and/or Participant’s Related Parties and Participant accepts all risks associated with the same.Participant should only travel to and from, and participate in, the Event if doing so will not adversely impact the physical and mental health and financial condition of Participant and/or Participant’s Related Parties and Participant. Participant shall be legally responsible for his or her own physical and mental health, safety, behavior and financial condition in connection with traveling to and from, and participating in, the Event.Some aspects of the Event may involve (a) physical activity of standing, moving and sitting; (b) long hours of training; (c) homework assignments after hours of training; and (d) mental, emotional, and psychological efforts.Should Participant require emergency or other medical treatment as a result of accident, illness or other conditions arising in connection with the Event, Participant hereby consents to such treatment and the Released Parties shall not have any liability for the same.Participant shall be financially responsible for any medical, legal and other charges that may be incurred as a result of such emergency and/or other medical treatment. Participant shall promptly notify Promoter orally and in writing if Participant is at any time or manner directly or indirectly injured or becomes ill in connection with the Event or if Participant has medical conditions about which emergency or other medical personnel should be informed; however, Participant understands that the Released Parties are not legally obligated to act on that information in any way or to provide any medical service or accommodation whatsoever to Participant.The Released Parties do not provide any physical or mental health, suicide or other similar advice or intervention and Participant should contact Participant’s own healthcare providers on such matters. Participant agrees that if Participant has any medical, mental health or psychological conditions that may hamper Participant from fully, safely and healthfully participating in the Event, that Participant shall notify Promoter in writing of those conditions before the Event and that Promoter retains the right to ask that Participant not participate in portions, or the entirety, of the Event.

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MomChild Reunion Registration Form

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