FCR Fireside Creative — Autumn Art Retreat Registration Participant # 1: Retreat Attendee(Required) First Last Email Address(Required) Phone Country Phone Number Art Retreat Registration Price: Participant #1 T-Shirt Size(Required)SmallMediumLargeX-Large2X-Large3X-LargeLodging & Meals(Required) Standard Motel – Double Occupancy – $462/person Standard Motel – Single Occupancy – $569/person Day Rate – No Lodging – Meals Only -$255/person Roommate Preference(Required)You have selected Double Occupancy, which means you will be sharing a room with someone. Please tell us how you would like to handle your roommate: I am registering a spouse/companion with me (Participant # 2), and we would like to share the same room. I am sharing a room with someone who is registering separately. I will provide their name below. I would like Double Occupancy, but I do not have a roommate. Please match me with another participant who also needs a roommate. Roommate's Full NameParticipant #1 Dietary Needs / Food AllergiesPlease let us know about any food allergies or special dietary needs that we should be aware of when planning your meals.Participant #2 — Spouse/Companion (Optional)Participant #2 — Full Name(Required) First Last Participant #2 — Art Retreat(Required) Yes — Attending the Art Retreat – $950.00 No — Not Attending the Art Retreat Participant # 2 T-Shirt Size(Required)SmallMediumLargeX-Large2X-Large3X-LargeParticipant #2 — Lodging & Meals(Required)If staying with Participant #1, select the same double-occupancy lodging option. Lodging rates are per person. Standard Motel – Double Dccupancy – $462/person Meals Only — No Lodging — $255/person Participant # 2 Dietary Needs / Food AllergiesPlease let us know about any food allergies or special dietary needs that we should be aware of when planning your meals.TotalTotal Payment Method(Required) Credit Card Paypal PayPalPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Credit Card
