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15th Shreveport Bead Retreat

Retreat Registration Form

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Shreveport Bead Retreat Scholarship Fund Application
Retreat Registration Form
Retreat Classes
Material information for classes
Ultra Suede Site
Registration Form


Name: _____________________________________________

Address: ___________________________________________ 

City: ____________________________  State: ____________ 

Phone (home) ________________  (cell)________________

Email: _____________________________________________

 

Emergency contact: ___________________Phone_______________


Please bring a list of any medication you take in a sealed envelope and place in your purse or bead case in case it becomes necessary for you to be hospitalized while in Shreveport.

Check Room Requirements: (Per Person for Weekend Event. Includes Lodging for Friday, and Saturday nights, meals Friday evening, Saturday, and Sunday lunch, taxes, room fees.
 
If you are arriving earlier than Thursday and want to make reservation please call the Wyndham Garden Hotel 318-797-9900.
___Smoking ___Non Smoking ___Handicap Room

Thursday - Sunday (This includes additional room charge)
 Private Room ___ $501.00  Double Room ___ $348.00
(Per Person for Weekend event - includes lodging for Thursday, and Saturday nights, meals Friday evening, Saturday, and Sunday lunch)

Friday - Sunday      Private Room ___ $401.00  Double Room ___ $298.00
(Per Person for Weekend event - includes lodging for Friday, and Saturday nights, meals Friday evening, Saturday, and Sunday  lunch)

Assign me a roommate _______________________________ 

I'm sharing a room with _______________________________

Day Visitor $185.00  (includes classes and lunch & supper meals, subject to space available; advance registration required.) 

Please let me know if you have special dietary needs


Mail form and check/money order.
Payable to :
Ida Williams
7302 Whispering Pines Rd
Shreveport, LA 71129 


No refunds after 3 weeks prior to the event date.  You may transfer your registration to another individual (subject to my approval).