Name *

First Name

Last Name

Phone *

(###)

###

####

Birth Date

MM

DD

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your preferred roommate (please include first name, last name and email)

First Name

Last Name

Glamping Renters: You may request either one King Bed or two Twin Beds

1 King Bed

2 Twins

I give permission for my full name to be shared with other participants.

Yes, you can share my name.

I prefer not.

The deposit amount is non-refundable. However, if you can find someone to fill your space the non-refundable deposit can be transferred to another individual. *

I understand and agree to the above stated terms.

If written Notice of Cancellation is received at least 30 days prior to the retreat start date the full amount paid less a $500 non-refundable deposit will be refunded. *

I understand and agree to the above stated terms.

If written Notice of Cancellation is received within 30 days of retreat start date there will be no refund granted. *

I understand and agree to the above stated terms.

If The Moody Persian or Cave Creek Farms must cancel the retreat due to illness, death, or extenuating circumstances 100% of money paid to The Moody Persian will be refunded within 30 days of retreat cancellation. The Moody Persian is not responsible for guest costs & expenses incurred in preparation for any canceled trips. *

I understand and agree to the above stated terms.

Final payment must be received by 5/1/21 unless otherwise authorized by The Moody Persian. *

I understand and agree to the above stated terms.

I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be at risk of contracting COVID-19.

I understand and agree to the above stated terms.