Registration form for domestic retreats

Sign me up!

Start your Adventure:
To make your retreat experience as enjoyable as possible from start to finish, we would like to walk you through all the information you will need to get ready for your adventure! We use these forms not just for contact information but to get a sense of who you are, what kind of exercising you like to do and what kind of experience you are hoping to have.

1- Signing up for a Retreat :
Online- You MUST book our retreats by filling out the questionnaire form below and submitting it online.

If you have questions, please call 303-545-9295 or email colleen@womensquest.com

2- Sending in your Payment
Online payment is now available! You may also pay by check. Once filling out the online registration form, you will be taken to the Payment Options page. If you choose to fax in your registration form, a check is required. Please make payments to:

Women's Quest, Inc.
2525 Arapahoe Ave, Ste E-4,#181
Boulder, CO 80302
ph 303-443-3620

A deposit of $250 is due at the time of registration. Your spot on the retreat is not reserved until we receive a deposit. Final payment is due 60 days prior to retreat. When we receive your payment, we will email you a confirmation packet along with your invoice.
*NOTE We no longer accept credit card payment over the phone. You may only pay online using a card or through a check mailed directly to Women's Quest

Cancellation policy for all domestic camps: *
• if you must cancel, the $250 deposit is NOT REFUNDABLE*
• Full refund, less deposit, will be given with at least 60 days notice *
• Within 60 days of your camp, 50% of the total (less deposit) will be refunded to you *
• Within 14 days of your camp, sorry but absolutely no refund will be given
*no exceptions will be granted to the above policy.*
Please note: We are sorry but injury and illness do not disqualify you from any of the above cancellation policies. We are UNABLE to transfer deposits or any payments from one year to the next.

We reserve the right to cancel retreats with inadequate participant interest, in which case all money paid to Women’s Quest will be refunded. Women’s Quest CANNOT be held responsible for any personal expenses, such as airline tickets due to changes in itineraries or tour cancellations.

Read the Women's Quest waiver here.

Room Request*- We try our best to honor room requests; however, some retreats have limited single room capacity. In these cases, single rooms are given on a first sign up basis and are not guaranteed.

Trip Insurance- We highly recommend Trip Insurance. We encourage you to purchase trip cancellation insurance in order that your trip fees will be covered should you or your family have a medical problem prior to your trip or while on the trip. Trip insurance should also be purchased to cover medical expenses in the event you have an accident while on the retreat.

Online Registration Form

Name*

Address*

City* State* Other

Zip / Postal Code*

Country

Home Phone Daytime Phone

Cell Phone

Email*

Payment and Cancellation Policy*
I have read, understand and agree to the payment and cancellation policy. Click here if you need to read the cancellation policy again.

Release Form*
I have read, understand and agree to the release form. Click here to read the release form .

Field names with * are required information. If you don't have an email address type an X in that box and be sure to include a phone number. Thanks.

Select a Domestic Camp

2013 Retreats
Wine Country Spring	May 12-17, 2013
Colorado Adventure Retreat	July 23-28, 2013
Horse Adventure Retreat	August 12-16, 2013
Vermont Adventure Retreat	September 8-13, 2013
Wine Country Fall	October 13-18, 2013

For international retreat registration, click here.

Emergency contact information during camp
Name Relationship
Phone Alternate phone

Please bring a copy of your insurance card with you to the retreat, as well as a copy of any trip insurance you have taken and/or medical evacuation insurance. We also require a copy of your passport

Personal Information
Birthdate Age*
Height* Weight*
T-Shirt Size* Pant Size* Tell us S, M, L, XL etc. as size Inseam Shoe Size*
Occupation

Retreat Questionaire
Have you attended Women’s Quest before? Yes No
If yes, which retreat and when?

Room mate request*
We will match you with an utterly fantastic woman if you are not coming with a friend! Most women come to Women’s Quest on their own and they find life long friends. If you snore we highly recommend you get a single room. Single room supplement is $350 for domestic retreats.

Are you bringing a bike or renting a bike? Bringing my own bike Renting a bike

Medical & Dietary Information
Do you have any medical condition we should be aware of? Yes No
If yes, please explain

Do you have any injuries we should be aware of? Yes No
If yes, please explain
Please contact us if you have any questions about your ability to participate in activities. We suggest that you consult your physician regarding participating with any serious illness or injury.

Are you taking any medication? Yes No
If yes, please list medication

Do you have any food allergies or restrictions? Yes No
If yes, please explain

Are you vegetarian ? Yes No
Please contact us if you have any questions about our ability to accommodate your dietary restrictions.

Fitness/Goal Information

Describe your fitness: Include the activities in which you participate (e.g. running, hiking, walking, biking, skiing, aerobics, swimming, yoga, pilates, etc…), the frequency with which you participate in each activity (i.e. how often, how far, for how long), the duration of your fitness program, and any other information you would like us to have.

What is the primary focus of your current exercise program? (i.e. fitness, weight-loss, competition, sanity!)

Specific Fitness Information:
For the following activities, please list your experience level using the following definitions:
Novice (N) – have never participated in this activity.
Beginner (B) – have participated a little in this activity, but need some help.
Intermediate (I) – participate in this activity with some regularity, but would welcome some pointers/advice.
Advanced (A) – experienced with this activity, just eager to get out and do it in a new environment, and receive suggestions for training.

Hiking	Yoga (which type)
Running	Weight Lifting	Swimming
Mountain Biking	Road Cycling	Aerobics

Horseback Riding:

Your Intention!
What do you hope to accomplish and/or learn at the retreat? Describe your intentions, goals, and wild visions for the retreat!

Is there any activity that you are particularly eager to experience at this retreat?

Do you have any questions or concerns? (Please call us if you'd like to discuss any questions or concerns)

Is there anything else that you would like us to know about you?

Where did you hear about Women’s Quest?

Ambassador Code
If you heard about Women's Quest from an Ambassador please enter the code in the above box.

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