Quiltapalooza Event Final Registration

724-434-9987

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2026 Quiltapalooza® Lite - Galentine's Day Getaway Weekend

Guests are asked to complete this Registration Form prior to arrival. Thanks!

Full Name (First, Last)*

Home Street Address*

Home City & State*

Home Zip Code*

Home County*

Email Address*

Phone Number (Cell)*

Emergency Contact Name(s)*

Emergency Contact(s) Phone Number(s)*

Please list any Food Allergies we should know about. (Note, this is not for Special Requests, but Medical Allergies that if ingested will cause harm) Please respond N/A if this does not apply to you. *

Does the Allergy listed above require Medical Attention if consumed or contacted?*

Do you have any Special Needs we should know about / make accommodations for?

Requested Sewing Mates (1 -2 per station) Please note, we will do our best to fulfill your request, but understand no guarantees.

Will you be staying close by during our Event?*

If "Other", please specify...

If Staying Locally, what type of room do you have?

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Amy's Quilt Room
69 Romeo Lane
Uniontown, PA 15401
Call us now: (724) 434-9987
Email: info@amysquiltroom.com
Click here for our store hours.

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