Registration Form
General Information
First name: _______________________________________________________________________
Last name: _______________________________________________________________________
Cell number: ______________________________________________________________________
Email address: ____________________________________________________________________
Full mailing address: ________________________________________________________________
I would like to participate as follows (please highlight):
◯ For the full weekend, in a private room (Queen bed) - $1250 per person.
◯ For the full weekend, in a shared room (King bed) - $950 per person. (*please note the Millcroft Inn does not have any rooms with 2 beds)
I would like to share a room with: _____________________________
◯ For Saturday only - $400 per person.
What is it you’re looking to get out of this weekend?
______________________________________________________________________
Dietary Restrictions/Medical Info
Please list any dietary restrictions:
______________________________________________________________________
Please list any severe food allergies:
______________________________________________________________________
Any medical conditions or accessibility requirements you would like us to be aware of?
______________________________________________________________________
Additional Information
Please complete the information below as it will be included in the programming in some way – please know your name may be associated with your answers so others can ask you for more information (other than the song picks).
Favourite three songs by female artists - please include song name and artist:
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
Three great books you would recommend to a friend - please include book title and author:
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
Top three travel places you have been and why (please be specific) - please include destination and why:
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
Following receipt of this Registration Form, invoices will follow to secure your registration, with final payment due October 18 (please note payments are non-refundable but spots can be transferred).
Please complete this Registration Form and send it to sherrylambsolutions@gmail.com.
Remember – space is limited so sign up today!
“Our Women’s Weekend” is presented by Assante: CI Assante Wealth Management is one of the largest wealth management firms in Canada, supporting 900 professional advisors who oversee over $46 billion of wealth for Canadian families and business owners. Assante is a subsidiary of CI Financial Corp., a leading global diversified investment company.
