Skip Navigation
Website Accessibility
724-434-9987
View Cart
follow us
search our store
Toggle navigation
☰ Menu
Home
Shop
Classes & Events
Classes & Registration
2 Week Calendar Preview
View Full Calendar
Monthly Programs
Studio 180 Designs
Class Registration Policies
Quilt Retreats
Quiltapalooza Retreats & Special Events
Meet our Retreat Mascots
Quilty Pleasures Club
Quilty Pleasures Club
Members Only
Live Broadcasts
About Us
About Us
Meet Amy
Blogs by Amy
AQR's Gift Registry
Alterations
Privacy & Policies
Contact Us
Login
Repeat Email Address
2025 Quiltapalooza® Lite - Galentine's Day Getaway Weekend
Registration Form for attendees of our Galentine's Day Getaway Weekend.
Full Name (First & Last)*
Home Street Address*
Home City and State*
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. (Please 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 require Medical Attention if consumed or contacted?*
Please Select One
N/A
No
Yes
Do you have any Special Needs we should know about / make accommodations for?
Requested Sewing Mates (1-2 per station) If none, please respond N/A. Please note, we will do our best to fulfill your request, but understand no guarantees.
Will you be staying at a Hotel during our Event?*
Please Select One
No
Yes
Which hotel will you be staying at? Please respond N/A if this does not apply to you.*
Repeat Email Address
Site Links
Shop Online
About Us
Classes
Quilty Pleasures Club
Alterations
Privacy Policy
Class Policies
Contact Us
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
.