Quiltapalooza Fall Final Retreat Registration

GET MEDICAL DIET REQUESTS/FOOD ALLERGY FORM HERE

Return Completed form to teamaqr@amysquiltroom.com

2026 Quiltapalooza® Fall Retreat & Take 2 Retreat Registration

Please complete your Registration prior to your arrival for Retreat. If you have a Special Dietary Need, complete the facility's form above and send it to TeamAQR@amysquiltroom.com

Full Name (First, Last)*

Home Street Address*

Home City & State*

Home County*

Email Address*

Phone Number (Cell)*

Emergency Contact Name*

Emergency Contact Phone Number

Please list any Food Allergies we should know about. (Note: this is for Medical Allergies that if ingested will cause harm.)*

Do the Allergies listed above require medical attention if consumed or contacted? (If this does not apply, please select N/A)

If you have Medical Dietary Restrictions, it's imperative that you complete the Retreat Center's Dietary Form, found above. Click the link at the top of the page, and fill out the form. Please then submit the form to TeamAQR@amysquiltroom.com. Is thi*

Do you have any Special Needs we would need to make accommodations for?

Any Requested Sewing Mates? (Note, we will do our best to honor your request, but please understand there's no guarantee)

Which Retreat are you Scheduled For?

Do you plan to leave Retreat early? Regular Check-Out of your room is 10am (Monday or Friday, depending on your scheduled retreat.) Please list the day and approximate time you intend to leave.

Would you be interested in a Massage? (Chair Massages scheduled in 15 minute increments, $1/minute paid in cash directly to masseuse. Massages available two separate days.)

Any Additional Comments or Concerns about your Registration or Retreat?

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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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GET MEDICAL DIET REQUESTS/FOOD ALLERGY FORM HERE

Return Completed form to teamaqr@amysquiltroom.com

Site Links

Contact Us

GET MEDICAL DIET REQUESTS/FOOD ALLERGY FORM HEREReturn Completed form to teamaqr@amysquiltroom.com

Site Links

Contact Us

GET MEDICAL DIET REQUESTS/FOOD ALLERGY FORM HERE

Return Completed form to teamaqr@amysquiltroom.com