NOTE: This form will be revised in 2012 to fit in with our new format.

(If more than one person attending, please indicate all addresses, etc. next to signatures
at the bottom of this form; correspondence will be sent to this address:)

Address: __________________________________Apt:________

City, State, ZIP _________________________ ˜ _____ ˜ __________
Country _______________
Phone # ______ _______________(W) # ______ _______________(H)
E-mail address: _____________________________________________

Workshop NAME:______________________________DATES:___________________________

DEPOSITS (For Cancellations, see details below, and on specific web page: detailing deposits, cancellations, refunds and time limits. Flyfishing Retreat --or-- Private Cabin should contact Director before using this Form )
* Writing & Wellness 4-day Workshop: $50.00 deposit x #___ of people = $________
(balance due in full one-month before workshop) Or, payment in full enclosed ________
*ADDITIONAL FEES for workshops at Main Rocky Mt. Retreat ONLY: ______________________

TOTAL ENCLOSED: $_________

NOTE!**CHECKS: Make Wellness, Mission & Retreat checks payable to: Rocky Mt. Retreats
Make Writers and Journaling workshop checks payable to: Spring Time Writers
MAIL this entire Agreement (approx. 2 pages) along with your check to: P. O. Box 512, Lyons, CO 80540-8108

Tips, Questions, or Special Health Needs: (1.) Rocky Mt. Retreat lodge only: List any food allergies or need for meatless dishes. (We cannot provide strict vegetarian meals). For health reasons, we cannot allow any "scents" (perfumes, herbal, aromatherapy, etc.), alcohol, smoking or pets. We have a cat and stairs. Please discuss these problems with our Director prior to the trip to settle problems. We are not responsible for additional charges incurred due to these conditions, once you've arrived. (2.) See "cancellations" below. (3.) Health Problems: Persons with problems with: high altitude (difficulty with breathing or serious heart conditions), allergy to domestic or wild animals, dust or wildflowers, or need to be close to a city for extreme health conditions, or strict diets, should discuss this with their doctor and the facilitator. It may not be adviseable for them to travel here. The majority of the general public should not have any problems enjoying this spectacular area. (4.) Tips and Supplies: You will be provided with a "tips" list, incl. suggested packing list, maps, weather, etc. (5.) Workshop auto-tours require that the student wear a seat belt.

Your comments (if any) regarding the above "food and health needs": ____________________________________ ________________________________________________________________________________
We welcome a separate page describing your writing skills and what your writing goals are.


I(we) understand that Rocky Mt. Retreats and Spring Time Writers and Kathleen Spring (all known as the Company and person) and their agents, employees or servants, shall not be liable for any damage to property or to person, from any cause whatsoever, including but not limited to the negligence of said Owner of the property or business, his agents or servants or any other person, whether such negligence be active and affirmative or passive, arising from events or circumstances occurring or in any way related to a certain trip conducted by said persons or company. I(we) agree to save and keep the Company and Person, his agents and servants, free and harmless from any such liability and from any and all costs and expenses (including attorney fees) incurred in connection with the assertion of any claim of such liability. The Company gives notice that it acts only as a contractor and supplier providing means of transportation and/or all related travel services and assumes no responsibility whatsoever for injury, personal illness, loss or damage to person or property in connection with any service resulting directly from: act of God, detention, annoyance, delays, expenses arising from quarantine, strikes, thefts, pilferage, force majeure, failure of any means of conveyance to arrive or depart as scheduled; civil disturbances, terrorism, government restrictions or regulations, and discrepancies or changes in hotel services in which it has no control. The Company and Person draws your attention to the fact that there are certain inherent risks involved with adventure travel and spiritual quests, and the client accepts them at his/her own risk.

I(we) understand that: All prices, dates and itineraries are subject to change at the discretion of the owner; including reasonable changes made based on number and/or date of travel confirmations.

Medical: I have been advised to check with my doctor for any effect of high elevation on my health. Owner is not responsible for medical needs or costs. Any emergency provisions provided by the Company or Person, including treatment and evacuation, on my behalf will be fully and immediately reimbursed by me/us.

I accept responsibility to have all my passport, visa, and other travel documentation in proper order. Any controversy or claim arising out of or relating to this Agreement, or the making, performance or interpretation thereof, shall be settled by binding arbitration in Denver, Colorado in accordance with the rules of the American Arbitration Association then existing, and judgment on the arbitration award may be entered in any court having jurisdiction over the subject matter of the controversy.

Cancellations: Gift Certificates are non-refundable. --Owner reserves the right to decline to accept or retain any participant at any time; or to cancel or alter a trip due to unforeseen conditions. --No refund for late arrivals or early departures. --All notification of cancellations must be received in writing prior to 30 days before the trip/workshop; refunds will be less a $25 processing fee for 4-day workshops and $50 for 5 or more days. Refunds after 30 days are only made if a replacement is found by either party for the full cost of the trip less our processing fee. --Said check will be issued within one month after all invoices are paid and checks have cleared. --Prices are in American dollars. --If the student switches to another workshop, there will be a $25 cancellation and switching fee. --Any specific "cancellation rules" stated in confirming emails will supersede these statements. "Fly-fishing Retreat:" In general, there is no refund, unless special circumstances, mutually agreed to in writing.

I understand and agree that accommodations are nonsmoking; no pets; unless otherwise stated.
Not included in the price are tips, snacks, some meals as indicated, licenses, fees, sales and lodging taxes, entrance fees unless listed, any personal insurance coverage, sundries, and similar items.


Signature of Traveller: ___________________________________Date:________________

Signature of Traveller: ___________________________________Date:________________ Address, if different: __________________________


Thank you for reserving a Workshop.
Our exceptional retreats, combine both relaxation and education.

Best wishes, Kathleen Spring, director

See our Privacy page. We do not sell or give away names or information.
Copyright 1998-2010 Kathleen Spring

HOME Rocky Mt. Retreat Page HOME Spring Time Writers