Quiltapalooza Summer Final Retreat Registration

724-434-9987

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2026 Quiltapalooza® Summer Retreat

Guests are asked to complete this Emergency Contact & Registration Form prior to Retreat arrival. Thanks!

Full Name (First, Last)*

Home Street Address*

Home City & State*

Home County & Zip Code*

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 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 respond N/A)*

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

Do you have any Requested Sewing Mates? (Up to 3 Suggestions. Please know we'll try our best, but no guarantees.)

Would you like to reserve a Massage? (Chair Massages offered in 15min or 30min increments, paid in cash directly to Masseuse. $1/minute, tips appreciated)*

What is your Preferred Shirt Size?*

Will you be Staying Locally?*

If Staying Locally, what accommodations have you selected?*

Do you intend to leave Retreat before it ends on Sunday at 2pm? If so, what day and about what time?

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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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