2024 Rustic Roots Retreat
Musician: 475
Non-Musician: 375
Partial Week: 90/Night

1. Fill Out Registration Form
2. Submit Payment (button below)

Name

First Name

Last Name

Email

Phone

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Instrument(s) / Voice

Dietary Restrictions or Allergies

How did you hear about Rustic Roots Retreat?

Musical Experience / Favorite Styles

Lodging: Tent or Vehicle (please describe below)

(Vehicle camping is no extra charge)

Driving? Flying? Are you willing to carpool?

Are you bringing any pets? Animals are an extra $250 per being and may at NO TIME be left unattended. Taking into consideration how "good" your animal is at being around other humans and other animals, both wild and domestic, please consider alternative options for your pet during Rustic Roots Retreat. (This is a working farm.) Describe below if applicable.

Check one:

Full Week Retreat - Musician

Full Week Retreat - Non-Musician

Partial Week

If partial week, please let us know which days you will be attending:

I understand that my answers will be lost if I do not click the rectangular button labeled 'Submit' below.

Yes

No

Payment Style

Paypal

Venmo

Check

Step 2: Payment

Full Week Musician: 450
Full Week Non Musician: 350
Partial Week: 90/night

Venmo Button - (Last Four 7724) ~ Please select Friends & Family OR Add $25

Paypal Button - Please Select Friends & Family OR Add $25

Payment is also possible via check: Please email andyreinerfiddle@gmail.com for details.

2024 Rustic Roots RetreatMusician: 475Non-Musician: 375Partial Week: 90/Night1. Fill Out Registration Form2. Submit Payment (button below)

Step 2: Payment

Thank you and we can’t wait to see you at Rustic Roots Retreat! You are now a Rustic Rootian!

2024 Rustic Roots Retreat
Musician: 475
Non-Musician: 375
Partial Week: 90/Night

1. Fill Out Registration Form
2. Submit Payment (button below)