Washington Island Retreat Registration

Please fill out the registration information below. Reservations and preferences are made on a first come, first serve basis. You will be contacted within 24 hours to confirm that your preferred room is available. You will be sent an invoice with payment instructions that will hold your spot for 24 hours. Once payment is received your reservation will be complete and you will receive a receipt to confirm your reservation.

I am so excited to have you join this experience! It is sure to be made extra special with your presence.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Please describe your health history, including any health conditions/concerns I should be aware of?

LIABILITY WAIVER: I understand that in the case where I have an injury, sickness, or anything else that may be affected by physical activity, I have consulted with a physician to ensure I can take yoga classes. I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. In further consideration, I knowingly, voluntarily and expressly waive any claim I may have against Amanda Boerboom, Owner of Om Girl Yoga LLC, for injury or damages that I may sustain while participating in the yoga class. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. Please type your name below.

PHOTO RELEASE

I agree to allow Amanda Boerboom of Om Girl Yoga, LLC and its representatives the right and permission to use, publish, and reproduce photographs, videos, or other media taken of me during the Washington Island retreat. I understand and agree that these images or recordings may be used for promotional materials, including but not limited to websites, social media, brochures, newsletters, and other marketing materials. I hereby waive any right to inspect or approve the finished product or copy, wherein my likeness appears. I also acknowledge that I will not receive any financial compensation or other remuneration for the use of such images, recordings, or media. I hereby release, discharge, and hold harmless Amanda Boerboom of Om Girl Yoga LLC and its representatives from any liability, that may occur or be produced in the taking, processing, or use of such images or recordings. I am at least 18 years of age, and I have read and understood the terms of this release.

Lodging Preference

Double Occupancy ONLY: Please write the name of the person with which you will be sharing a room. If you are not sharing, simply type NA

Please describe any food allergies or restrictions so proper accomodations can be made.

PROPERTY AGREEMENT: Hotel Washington & Studio is part of an island community. Respecting our neighbors and our property is expected of our guests. You are fully responsible for any messes or damages that may occur. There is no smoking in the Hotel or Studio. Food and beverage consumption is discouraged in the sleeping rooms. The consumption of hard liquor is not permitted on the property. In compliance with Wisconsin law, all alcohol consumed on the property of Hotel Washington (including the restaurant, porch, studio, lawn, beach and parking areas) must be purchased and served by a licensed bartender employed by Hotel Washington. Please type your name confirming that you agree to these rules.

Payment Preference

CANCELLATION POLICY: All Sales are Final. Please write your initials to confirm your understanding of this policy.