Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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List food allergies and/or special needs:

PLEASE READ CAREFULLY – Seating is pre-arranged. Here is how it works. #1 Discuss with your friends, who will be in your seating group #2 Each person in group must be aware of arrangement(s) #3 Below, list the names of each person in your seating group. You should all have the same people listed on your application. #3b If you are adventurous and want to meet new people, leave the list blank. Your Name

Would you be interested in teaching a class at retreat? Classes are 1-1 1/2 hrs long and can range in skill level and technique. Classes related to, but not specifically involving beading are welcome

Yes

Are you interested in volunteering?

Yes

Preference of role?

be interested in participating in a Bead Buddy activity. It’s like Secret Santa. Details will be included with the questionnaire. We reveal buddies on Sunday.

Yes