2024 Quiltapalooza Summer Retreat Registration Form

Important Information from our Summer Quiltapalooza Guests

Full Name (First, Last)*

Home Street Address*

Home City and State*

Home County*

Email Address*

Phone Number (Cell)*

Emergency Contact Name*

Emergency Contact Phone Number*

Please list any Food Allergies we should know about. (Please note this is for MEDICAL ALLERGIES that if ingested will cause harm)

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

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

Requested Sewing Mates? (Up to 3 Suggestions) We will do our best to honor your request, but no guarantees.

Are you staying at the Hotel?*

What size shirt do you prefer?*

Do you plan to leave Retreat earlier than Sunday at Noon? Please list the Day and Time if you intend on leaving early.

Would you like to schedule a Massage?*

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