What name would you like on your badge? e.g. nickname

Repeat for verification

So we have an understanding of who is attending please tell us a bit about yourself.
What do you hope to get from this retreat?
If there is something you would love to learn at the retreat what would it be?
Where are you from?
Accommodation is included in shared cabins with bunk beds. 
You will need to supply your own towel, toiletries & bedding (pillow, sheets, doona or sleeping bag).
Alternatively, you can hire bedding for an additional fee. 
We understand that some people feel more comfortable in their own private accommodation.
There are a number of alternative accommodations available close by. 
If you have friends/colleagues attending, who would you prefer to share a cabin with?
Do you have any food allergies, or any dietary requirements?
Do you have any physical limitations requiring special assistance during the convention, such as poor hearing or limited mobility?
In the event of an emergency, are there any medical conditions or concerns we should alert first responders to?
In the event of an emergency, please list an emergency contact and phone number so they can be notified or alerted.
By submitting this form you are agreeing to:
• Pay the appropriate registration fee
• Attend the Twisted Balloon Retreat
• Follow the terms and conditions in every respect
NOW CLICK "SUBMIT".

IF YOUR SUBMISSION IS SUCCESSFUL YOU WILL BE REDIRECTED TO THE PAYMENT PAGE.

IF YOUR SUBMISSION WAS UNSUCCESSFUL YOU WILL SEE THIS PAGE AGAIN.

IF YOU ARE RETURNED TO THIS PAGE, IT IS PROBABLY BECAUSE YOU FAILED TO ANSWER ONE OR MORE OF THE MANDATORY FIELDS. LOOK FOR A RED ERROR MESSAGE ON THE FIELD THAT YOU MISSED, ANSWER THAT QUESTION, AND SUBMIT THE FORM AGAIN.

Alert!