Italy Retreat Form

If you’ve already been accepted into the retreat and already paid for the program, please fill out this form to help us gather more details about your travel and stay. We will use this information to organize airport pick up and drop offs, pair you with a roommate, manage the excursions, etc.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Preferred pronouns

Do you have any dietary restrictions we should be aware of?

Yes

No

If you answered yes to the previous question, please explain here.

If you have any accessibility needs we should be aware of, please let us know here.

Are you bringing a S.O. or partner to the retreat?

Please note: if you're planning to bring an S.O. or partner to the retreat, you will need to pay the fees before completing this form.

Yes

No

If you are bringing your S.O. or partner to the retreat, please fill out their name here.

The retreat will include several excursions to nearby cities/sites. Are you able to participate in these excursions without additional assistance?

Yes

No

If you need additional assistance to attend the retreat in full, please let us know how we can help.

Is there anything else we should be aware of?