Registration Form

 

Name_____________________________________

Address___________________________________

Phone ____________________________________

E-mail Address_____________________________

Emergency Contact (include phone number)

__________________________________________

Special Needs or Allergies_____________________

__________________________________________

My roommate will be ________________________

Please choose a roommate for me ______________

 

 

 

See the quilt at Jeana’s website: www.jeanakimballquilter.com

 

Please send your registration form and check to:

 

Foxglove Cottage Quilting Retreat

c/o Linda Gabrielse

3927 Monte Carlo Ct. SE

Kentwood, MI    49512

 

Phone: 616-949-2747

*You will ben sent a supply list and directions to the retreat upon receipt of your registration.

 

We look forward to seeing you in July!