Retreat Experience *Camino PilgrimageFall Wisconsin Retreat
Name *
Street Address
Address Line 2
Message
City
State
ZIP / Postal Code
E-Mail *
Confirm E-Mail *
Phone *
Preferred pronouns
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact E-mail
What are your hopes for your experience?
Anything else we should know?
Food allergies: no guarantees, but we’ll do our best to accommodate
Medical conditions/allergies
Physical limitations: what should we know about you before starting this experience
E-mail consent: I consent to have my email address added to the list of pilgrimage participants and to the general mailing list to receive updates.
Photo consent: I will allow photo images and/or video recordings of myself to be used in various advertisement media, for promotion of this pilgrimage. My consent implies agreement that these images may be used in future commercial promotions, without remuneration to me.
COVID policy: I agree to the terms of the COVID-19 policy.
Terms and policies: I agree to all Terms, Policies and Disclaimers *
