Fall 2023 Registration Name* First Last My pronouns are:* she/her he/him they/them Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email*Please provide an e-mail address where we can easily contact you. All correspondence, including registration confirmation, further important retreat information and any updates will be sent via email from hello@squamartworkshops.com — so it is critical that you have approved our email address. Phone* Housing ChoicesEvery bed is a twin bed. There are no queen beds. There are very few single rooms and they are assigned on a first-come, first-served basis. Please note, most of the singles are in large cottages or the lodge, so if you are seeking a small cottage experience, there is likely not a single room option with that choice. Shared Single If you are planning to share a room with friend/ family member Please indicate here:If there are multiple people you want to share a cottage with, please have a TEAM lead email hello@squamartworkshops with the FULL list of people in the group. Cottage Preferences:If there are specific cottage(s) you would like most, please indicate that here. *Please note, this does not guarantee that cottage will be available but we will do our best. Please provide emergency contact info.First and last name* Phone Number* OPTIONAL INFORMATIONThese questions are OPTIONAL, but are extremely helpful for assigning cottages and shared rooms.BEST WAY TO START THE DAY?BEST WAY TO END THE DAY?WORD(S) TO DESCRIBE HOW YOU HOPE THIS WEEKEND WILL FEEL?If any of the following is important to you, please check all that apply.Bedtime I prefer to go to sleep early and enjoy a quiet cottage in the evenings I am on holiday and enjoy lively conversations by the fireside —no bedtime for me! Cottage size I prefer to be in a larger cottage 5+ people I prefer to be in a smaller cottage 4 people or less Ages I am here for the experience and enjoy sharing space with people of all ages I would like to be with other attendees who are between the ages of: 20-30 30-40 40-50 50-60 60+ Dietary Restrictions I am vegetarian I am vegan I am gluten-free Other Other dietary restriction(s): How did you hear about Squam Art Workshops? Recommendation by a friend Squam Newsletter Instagram Facebook Twitter Google Search Other If other, please specify: I have attended Squam previously. No Yes Number of times attended: Which sessions?ANY OTHER INFORMATION YOU WOULD LIKE US TO KNOW?Class choicesPlease use the following dropdowns to indicate your FIRST, SECOND and THIRD class choices for each day. For more information on each class and updated class availability please visit: squamartworkshops.com.THURSDAY - first choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesTHURSDAY - second choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesTHURSDAY - third choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesFRIDAY - first choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesFRIDAY - second choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesFRIDAY - third choice*choose oneAlum + IronKnitting Off-PisteSimple BeautyCarve. Print. Magic.Prosperity Pendant2.2.2.The Art of KnittingLittle MysteriesStitch in PlaceWriting LightStories + LayersKnit TechniquesPayment informationPlease choose from the following options:On campus includes all workshops, evening events, Saturday extras, 4 nights lodging, full meal plan (3 dinners, 3 lunches, 4 breakfasts) Off campusincludes all workshops, evening events, Saturday extras, three lunches and one dinner.) On campus attendee (Standard Week): 1920 USD Off campus attendee: 990 USD Due today:A non-refundable deposit fee is required to process your registration. - 350 USD Payment by check is preferred. (Once your Registration is submitted, you will be re-directed to a page with payment instructions) You may also elect to pay via Stripe/Credit card. *ALL attendees outside the USA must pay via Stripe.Choose your payment type:please note: we prefer checks Payment can be mailed to: 143 Ivy Street Providence RI 02906 Pay by check Pay by card Cancellation policy: No refunds after May 31st, 2023. Deposits are non-refundable and non-transferable. There are no exceptions. All requests for refunds must be received in writing before May 31st, 2023. (You may have someone else take your spot before August 15th, 2023, but we must be notified of all changes). In the case of acts of God, war, disaster or unforeseen circumstances, Soliden LLC reserves the right to reschedule Squam Art Workshops. In the event of a resurgence of the pandemic which requires a cancellation of the event, we will refund ALL monies paid to date, minus a 200 USD admin fee.Release form:* I have read all the above policy information and I agree to assume all risk of personal harm or injury relating to or resulting from my participating in all workshops and activities associated with Squam Art Workshops, and to hold Soliden LLC and its teachers, harmless as to liability for any such harm or injury. Accuracy statement:* I have triple-checked the Registration Form for accuracy and found the information to be true and correct.