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 Credit Card(Required)