Flatwoods Days Hotel and Conference Center

***REGISTRATION FORM***

Flatwoods Days Hotel and Conference Center

Complete and return top page to: Carrie Ford 18 Poplar Hill Drive Charleston WV 25311 (Checks payable to Carrie Ford)

OApril 20-22, 2018

OSeptember 21-23, 2018

Name:______

Address: ______City: ______

State: ______Zip: ______Phone: ______Email: ______

(Confirmation & Updates will be sent via email if provided)

Room Mate(s): ______

Indicate Package choice:

Our weekend package includes lodging, around the clock cropping during event, tshirt (if registered prior to cut off date), door prizes, grand prizes, continental breakfasts (for each night stay), 3 snack breaks (Fri eve/ Sat am/ Sat eve), access to all hotel amenities, hotel fees, taxes and gratuities.

Weekend packagewith 2 nights Lodging (Friday/Saturday):

Quad Occupancy / $185.00 per person (deposit $92.50)
Triple Occupancy / $195.00 per person (deposit $97.50)
Double Occupancy / $205.00 per person (deposit $102.50)
Single Occupancy / $285.00 (deposit $142.50)

Weekend package with 1 night Lodging (Friday OR Saturday):

Indicate night:______

Quad Occupancy / $140.00 per person (deposit $70.00)
Triple Occupancy / $150.00 per person (deposit $75.00)
Double Occupancy / $160.00 per person (deposit $80.00)
Single Occupancy / $200.00 (deposit $100.00)

***Add Thursday Night (Early Bird arrival):

Quad Occupancy / Additional $27.50 per person
Triple Occupancy / Additional $36.67 per person
Double Occupancy / Additional $55.00 per person
Single Occupancy / Additional $110.00

Weekend package Local Non-Lodging:

Local non-lodging / $100.00 (deposit $50.00)

TshirtSize:______

****Registration must be received by date indicated below in order to receive a tshirt. Registration received after that date will not include a tshirt due to ordering and processing times.***

April: 4/6/2018

September: 9/7/2018

Crop Room seating:Each person will have their own table. Please indicate who you would like to sit closest to:______

I have read and understand/agree to the attached cancellation policy: ______

(registration cannot be processed without signature)

Please note***Balances due in full by:

Aprilretreat: 4/6/2018

September retreat: 9/7/2018

Cancellation policy:

April 2018: Cancellations made prior to 3/30/2018 will receive a full refund. Any cancellation made between 3/31/2018 to 4/6/2018 will be subject to a $15 cancellation fee with all other monies paid refunded. Cancellations between 4/7/2018 to 4/16/2018 will be subject to a $50 cancellation fee with all other monies paid refunded. There will be no refunds given for “no shows”.

September 2018: Cancellations made prior to 9/6/2018 will receive a full refund. Any cancellation made between 9/7/2018 to 9/14/2018 will be subject to a $15 cancellation fee with all other monies paid refunded. Cancellations between 9/15/2018 to 9/18/2018 will be subject to a $50 cancellation fee with all other monies paid refunded. There will be no refunds given for “no shows”.

Children ages 13 and up are permitted as a fully paid attendee as long as accompanied by a fully paid adult attendee.

Questions? Feel Free to contact Carrie directly at or call/text: 304-437-3850