WECARE: (CME) A Retreat Designed by Healthcare Professionals to support the Wellbeing of our Healthcare Professionals and Beyond

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1 Welcome

2 Price

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$2,275.00 – Price Per Person- Shared Room | 1-2 Guests. All-Inclusive with the exception of travel.

Number of Guests:

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$2,575.00 – Single Private Room | Maximum of 1 Guest. All-Inclusive with the exception of travel.

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3 People in your group

Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

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4 Participant Info

Address *	You will receive a retreat welcome and pre-work box prior to the event- we kindly ask that you ensure the address you input is correct.
Address 2
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Email newsletter	Please send me the email newsletter
Comments or Special Needs
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Requested Roommate
Preferred Way of Eating *	None Gluten-Free Dairy-Free Paleolithic Diet Ketogenic Diet Pescatarian Vegetarian Vegan Other - Please Note
Food Allergens or Foods you Avoid	Please Specify
Prefer Alcohol or Non-Alcoholic Supplemental Beverages	Alcoholic Non-Alcoholic Out of respect for your personal choices, during our mixology course, would you prefer to have alcoholic or non-alcoholic options for enjoyment?
Medical Issues *	Enter "none" if you have no issues
Emergency Contact Name *
Emergency Contact Phone *	Direct Contact (Please input a cellular device as opposed to a work line, etc.)
General Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Social Media Handle(s)	Our Leadership works to stay active on our social media page (@pointretreats) - Please share your own social handle(s) below so we may stay connected throughout and after our event(s)!
Sign (Full Name) General Liability Waiver and Hold Harmless Agreement *
General Liability Waiver & Hold Harmless Agreement *	I accept the terms and conditions and sign for either myself or as the Parent or Guardian for participants under 18.Please read the terms and conditions
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5 Payment

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