Fitness Retreat (Puerto Morelos, Feb 20-26, 2025)-Anna Kate Fitness

Fitness Retreat (Puerto Morelos, Feb 20-26, 2025)

Application & Payment Form

First Name

Last Name

Phone Number

Full Address

RETREAT SURVEY

1. Why do you want to attend this retreat?

2. What do you want to get out of going on this retreat?

3. How did you find out about AnnaKateFitnessRetreats?

RETREAT RULES

1. No outside lodging allowed; you must stay in the lodging area provided, unless you are asked to find your own lodging (see #4). 2. No alcohol allowed for the duration of the retreat. 3. No use of any illegal drugs or substances (excluding mushroom ceremony as part of retreat). 4. No drama! Anyone causing problems after a warning from Anna Kate will be asked to leave the group and find their own accommodations. 5. Buddy system. If leaving the group, must stay with at least one buddy from our group.

I agree to the Retreat Rules listed above.

PAYMENT TERMS

Payment with credit/debit card includes nonrefundable (NR) credit/debit card (CC) fees. Payment with Venmo/cash/check will not require NR CC fees, but still requires a credit/debit card on file to be used if payment is 5 days late, in which case NR CC fee of about 3% will be added.

I have attended a prior retreat with AnnaKateFitnessRetreats and will get 10% off of the amounts listed below.

I authorize AnnaKateFitnessRetreats to charge my credit/debit card for:

1 payment of $2,626.50 on 10/17/24 including $76.50 in nonrefundable credit/debit card fees

2 payments of $1,320 on 10/17/24 & 11/17/24 including $90 in NR CC fees

3 pmts of $885 ea every 3 wks on 10/17/24, 11/7/24, 11/28/24 incl $105 in NR CC fees

4 bi-weekly pmts of $667.50 from 10/17/24 to 11/28/24 incl $120 in NR CC fees

I have made other payment arrangements with Anna Kate (see below)

If you have made arrangements with Anna Kate to make payments by Venmo/cash/check on designated due dates, you must still provide a credit/debit card as backup. If a payment is 5 days late, the credit/debit card will automatically be charged for the amount due plus 3% in nonrefundable credit card fees.

If you're paying by Venmo/cash/check, your total price will be $2,550. Or if you have been on a retreat with AnnaKateFitnessRetreats before and you will pay by Venmo/cash/check, your total price will be $2,295.

If paying with Venmo, send payment(s) to @AnnaKateTillison.

Credit card number

Expiration date

CVV (3-digit code)

RELEASE OF LIABILITY

Under the terms of this Agreement and sufficiency of which is hereby acknowledged, I do hereby release and forever discharge AnnaKateFitnessRetreats LLC, including their agents, employees, successors and assigns, and their respective heirs, personal representatives, affiliates, successors, and assigns, and any persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, none of whom admit any liability to the undersigned, but all expressly denying liability, from any claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, which now have or may hereafter have, arising out of or in any way relating to any injuries and damages of any and every kind, both person and property and also any injuries and damages that may develop in the future, as a result of or in any way relating to the liability. It is understood and agreed that this Release is made and received in complete settlement and satisfaction of the causes of action, claims, and demands mentioned herein; that this Release contains the entire agreement between the undersigned and AnnaKateFitnessRetreats LLC; and that the terms of this Release are contractual and not merely a recital. This Release shall be binding upon the undersigned and their respective heirs, executors, administrators, personal representatives, successors, and assigns. I hereby release and forever discharge AnnaKateFitnessRetreats LLC for the following activities: FITNESS RETREAT IN PUERTO MORELOS, MEXICO, ON FEBRUARY 20-26, 2025, AND TRAVEL TO/FROM THE RETREAT

Your Signature

REFUND POLICY

I understand that I can get a 50% refund (not incl nonrefundable fees) until 12 weeks before the trip (Nov 28, 2024) and that refund will only be made to the original payment method/card. I understand that I will get no refund after Nov 28, 2024. I understand that I can give my reservation to another person if I need to cancel after Nov 28, 2024.

Your Signature