Women's Retreat: Needle Felted Landscapes with Audra Christie Needle Felted Landscapes Price: Name(Required) First Last Phone Number(Required)Email(Required) Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have any serious allergies to food?(Required) No Yes What are you allergic to and is it life-threatening?Do you have any dietary restrictions?Is there anything else we should know? Any accommodations that will make this day work for you?How did you learn about this retreat?Select OneFacebookInstagramWHRL NewsletterWHRL WebsiteWord of MouthPosterRadioNewspaperOtherRefund Policy(Required)We understand that unexpected things happen. If you need to cancel, you may receive a full refund provided that we can fill your spot. I agreePhoto ReleasePHOTO RELEASE (optional): I, the undersigned, hereby grant Maine Outdoor School, L3C and Women Healthy Rural Living (WHRL) permission to use the Participant’s likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Maine Outdoor School, L3C and WHRL and will not be returned. I hereby irrevocably authorize Maine Outdoor School, L3C and WHRL to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein the Participant’s likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.I hereby hold harmless, release, and forever discharge Maine Outdoor School, L3C and WHRL from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I agreeTotal How do you plan to pay?(Required)Please note that Venmo is not yet available on Apple devices. Credit Card PayPal or Venmo Send a Check Paypal CheckoutPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Credit Card Cardholder Name Card Details Δ
