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Step 1: Your Details

First Name

Last Name

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Step 2: Retreat Details

You need to arrive at Lost Pines Resort before 3pm CT on Thursday 9/25. We highly suggest that you arrive the night before or as early as possible on Thursday 9/25. The resort is beautiful and you can use the extra time to explore the land, visit the petting zoo or relax by the pool and lazy river!

Emergency Contact (Full Name + Phone #)

Do you have any major health concerns or physical needs we should be aware of? Are you under the care of a doctor for anything we should know about in case of emergency? This can be anything you want us to be aware of or need support with. i.e. Health concerns, medication, allergies, support with pumping during the event, etc.

If so, please let us know what support (if any) you need during the retreat or if there is any other important health information for us to know.

If you don't have any health concerns or physical needs, please type N/A in the box below.

Physical Needs or Health Concerns

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Step 3: Billing Address

Billing Address

Billing Address 2

Billing City

Billing Country

Billing Zipcode

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Step 4: Investment

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Step 5: Credit Card Info

Card Number

CVC

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Complete Order