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Detroit Staycation Registration

Please fill out the form below to complete your registration for The Well's Detroit Staycation! Please note that a seperate form must be submitted for each participant.

Name

First Name

Last Name

Pronouns

she/her, he/him, they/them, etc.

Verify Email

Phone

Birthday

(mm/dd/yyyy)

Have you received a vaccine for COVID-19?

Over the course of the weekend, we will be eating meals together and participating in some indoor activities. Therefore, we ask that all participants be fully vaccinated for COVID-19.

I am fully vaccinated (including 2+ weeks post final dose)

I am awaiting my 2nd dose or currently in the 2-week post-dose waiting period and will be fully vaccinated before June 25

Do you have any dietary restrictions or allergies? Please describe in detail:

Vegetarian, vegan, dairy-free, allergic to eggs, Kosher-style, Kosher meat only, etc.

Are you in need of any physical accommodations?

Over the course of the weekend we may encounter lots of walking, stairs, various public transport, etc. We are also scheduled to enjoy a kayaking tour. Please let us know if there are any circumstances that may hinder your ability to participate in these activities, including current injuries or specific accommodations we can support.

Roommate Information: There will be 2 participants for each hotel room. If you have a preferred roommate, please list them here.

Hotel rooms will have one king bed (couples) or two queen beds (individual participants). Please note: listing a preferred roommate does not automatically register them for the weekend! They still need to complete their own separate registration.

Promo Code

Staycation Registration

$150

Registration Amount

$100

Friday Late Arrival Registration

$125

Sunday Only Registration

$50

Add 3% to my total amount to help cover the payment processing fees