Women's Recovery Retreat 2022

I understand that if current CDC guidelines change, I will need to provide proof of vaccination or a negative Covid test result and wear a mask when indoors while not eating to attend the retreat.

• Yes
• No

PLEASE CHECK ALL THAT APPLY: We are asking you to let us know all of the possible room assignments you are willing to accept. This will give us the most flexibility to make room for the most people possible. If you are requesting a scholarship, you will automatically be placed in a triple or quad room.

• Single – $250
• Double – $200
• Triple – $175
• Quad – $175
• Scholarship - $35 (triple or quad only)

Would you be willing to share a queen sized bed with one of your preferred roommates?

• Yes
• No

Best Way to Contact Me

• Email
• Phone
• US Postal Service

Promo Code

Fee

Have you ever attended the A2WG Women's Recovery retreat before?

• yes
• no

I understand that all money paid is to REQUEST a spot at the retreat, but this does not guarantee that I will receive a spot. There may be more requests to attend then there are spots available. I will receive a refund if I am not chosen to attend the retreat.

• I understand

One-third of the spots at the retreat are held for scholarship recipients.

• I understand
• N/A

First time attendees will receive priority before repeat attendees.

• I understand

I understand that I will be contacted whether I have received a spot at the retreat.

• I Understand

Scholarship recipients will be asked to volunteer at some point during the retreat.

• I Understand
• N/A

Do you need a necklace for this year's Recovery Retreat charm?

• Yes
• No

A2WG will be taking pictures at the retreat which may be used for digital or print media. It is my responsibility to let the photographer know (maybe more than once) if I don’t want my photo taken.

• I agree

Rides

• I Need a Ride
• I Can Provide a Ride
• My Car is Full Already

You May Share My Email or Phone Number With Other Registrants for Carpool Purposes

• Yes
• No