Bellissima Art Escape Registration Form 

  • You will be registered in order of receipt of your information.
  • We will contact you to let you know that there is room in the retreat.
  • Please do not make travel arrangements until you are notified to do so.
  • Make sure that you have read the More Information before hitting submit. 
  • Please fill out the waiver, it is required as part of your registration.
Name *
Name
Phone
Phone
Address *
Address
Name of Emergency Contact
Name of Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number
Are you signing up with someone else on this trip that you would like to be roomies with?
Legal *
I have submitted the waiver and have read all the More "stuff" - Fine print, Cancellation Policy, FAQs.