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Registration form

Let's start with your personal details


Creative Deep Dive

What is your Creative Medium

Please briefly describe your creative practice and interests:

Do you have any specific goals or projects you wish to work on during the retreat?

Would you be interested in collaborating with local Nicaraguan creatives during the retreat?

Would you be interested in collaborating with local Nicaraguan creatives during the retreat?
A
B

Emergency Contact Information


Travel Information

Do you require a visa to enter Nicaragua

Do you require a visa to enter Nicaragua

Accommodation & Dietary Preferences

Do you have any dietary restrictions or food allergies?

Do you have any dietary restrictions or food allergies?

Room Preference

Room Preference

Do you have any specific accommodation needs?


Health Information

Do you have any medical conditions or disabilities that we should be aware of?

Do you have any medical conditions or disabilities that we should be aware of?

Terms & Conditions

I agree to the terms and conditions of participation in this retreat, including the payment of all fees and adherence to the retreat guidelines.

I agree to the terms and conditions of participation in this retreat, including the payment of all fees and adherence to the retreat guidelines.
A
B

I understand that I am responsible for my own health and safety during the retreat and that I will carry appropriate travel insurance.

I understand that I am responsible for my own health and safety during the retreat and that I will carry appropriate travel insurance.
A
B

I consent to the use of photographs and videos taken during the retreat for promotional purposes.

I consent to the use of photographs and videos taken during the retreat for promotional purposes.
A
B

Signature

Signature

Date