Register for a Woman Within Weekend

How will your life be different?
A Woman Within Weekend can bring you awareness you had not thought possible.

The Woman Within® Weekend will take you on a journey into yourself. This is our signature program.

Thank you for taking an important step by registering for the Woman Within® Weekend presented by Woman Within Western USA. Your place on the Woman Within Weekend will be reserved with a deposit of $200. After you submit this registration form, you will receive specific details and followup several days or weeks before the Weekend. Please note your responses are safe, secure and confidential.

Woman Within welcomes all women and prohibits discrimination based on race, color, gender, national origin, age, religion, disability, veteran’s status, sexual orientation and gender identity.

Step 1 of 4

Choose your Weekend to Register*
COVID Conscious & Standard Safety Weekends
COVID Conscious Weekends require: Proof of negative COVID test within 72 hours preceding the Weekend; rapid antigen testing upon arrival at the Weekend site; social distancing if necessary; masking may be implemented if someone tests positive.
Standard Safety weekends do not require COVID testing. Optional: Masking and social distancing.
Find complete descriptions on the last page of this form, under "Woman Within Western USA 'COVID Conscious'/'Standard' Weekend Options - January 2023."
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Wait List*
Oh no! Our Weekend is full but you may submit registration WITHOUT PAYMENT to add your name to the Wait List. You will be eligible for any available opening on a first - come, first - served basis. Check the "Add me to the Wait List" then complete and submit the form to receive a confirmation by email.
- Add me to the Wait List
- I will check back later
Name*
First Last
Preferred First Name
To be displayed on your name badge.
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Preferred Name
To be displayed on your name badge
First Last
Email*
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Woman Within Western USA would like to keep you informed of the news and events about our community
We don't share your information or include advertising. It's just for and about Woman Within Western USA.
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Woman Within Western USA would like to keep you informed of the news and events about our community*
We don't share your information or include advertising. It's just for and about Woman Within Western USA. Select one option from the drop down list below.
Preferred Phone Number*
Alternate Phone Number
Date of Birth (mm/dd/yyyy)*
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
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Occupation*
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Marital Status*
Single, Married, Widow, Divorced, Partner

The safety of staff and participants during the Weekend is our top priority.
Please review and check the box below the below before proceeding with your registration.
Woman Within Western USA “COVID Conscious”/”Standard” Weekend Options - January 2023*
Woman Within Western USA believes in women’s safety, choice and empowerment. We aim to ensure that every woman has the resources, information and ability to choose what feels right for her. Our goal is for all women to experience what makes the Weekend, and our community, so special. We understand that there are women who need and/or want COVID prevention protocols in place, and there are women who explicitly do not want these protocols.

To that end, we will be hosting two variations of the Woman Within Weekend: “Standard” and “COVID Conscious”.

At “Standard” (No COVID precautions) Woman Within Weekends, we will only:
1. provide optional masks and hand sanitizer,
2. provide stickers that indicate your comfort level regarding physical closeness to others,
3. have optional COVID rapid antigen tests available in case you become symptomatic,
4. provide support around determining how best to isolate and/or get home,
5. support you in choosing any of the above.
6. We will not require COVID testing at “Standard” WW Weekends.
At COVID-Conscious (COVID Precautions) Woman Within Weekends, we will be implementing COVID safety measures intended to prevent the spread of COVID. All participants and staff will be required to follow these safety measures.*

At “COVID-Conscious” (COVID Precautions) Weekends, we may:
1. Require proof of negative COVID test within 72 hours preceding the Weekend
2. Require rapid antigen testing upon arrival at the Weekend site
3. Implement social distancing, if needed
4. Implement masking if a staff member or participant tests positive for COVID during the Weekend
FOR ALL OF OUR WOMAN WITHIN WEEKENDS: With choice comes responsibility. We expect that if you feel unwell or display any symptoms of illness (whether a cold, the flu, Covid,or any other potentially contagious illness), you will NOT come to the Weekend. Wherever possible, we will support you by transferring your payment to another Weekend.

If a government entity (federal, regional, or local) issues public health mandates at the time of a Weekend, we will follow these requirements.

*For as long as applicable.
I've reviewed the Weekend Options above, and accept the terms.
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COVID-19 Notice: Aptos, CA, January 13-15, 2023 ONLY*
● Negative COVID-19 test (PCR or rapid antigen) taken 48-72 hours prior to the start of the Event, and negative COVID-19 rapid antigen test (provided by us) upon arrival at site are required to attend.
● No masking or social distancing is required.*
● We will provide optional masks, optional hand sanitizer, and the optional ability to choose whether you prefer social distancing from others.

* Any applicable CDC or governmental public health mandates will apply, if they exist at the time of the Event.
Refunds cannot be given due to COVID-19 protocol changes related to government-mandated public health mandates.

You are required to inform us immediately if: you test positive for COVID-19 within 5 days of the Event; or, you have a COVID-19 exposure within 5 days of the Event. You will have the option for your full registration fee to be refunded or applied toward a future Event.

If you become sick while you are at the Event, we will ask that you quarantine in a private room until you can safely leave the Event site.

While unlikely, Woman Within Western USA (WWWUSA) may at its sole discretion, cancel the Event with short notice. In the event of such cancellation, WWWUSA shall have no liability for travel expenses or costs you incur. WWWUSA’s only liability shall be providing you the option for your registration fee to be refunded, including your $200 deposit, or applied toward a future Event.

EXCLUSIONS OF LIABILITY
Without limitation, WWWUSA, is not responsible or liable for bodily injury, death, delays, changes or losses caused by, but not limited to acts of God, war, pandemics, threat of war, closure of airports, civil strife, natural disasters, accidents or any other events beyond or within our control; participants' injuries, illnesses, medical or psychiatric conditions developed during or subsequent to the Weekend; loss of/or damage to personal property of participants.
I acknowledge and accept the COVID-19 Notice as outlined. Should any CDC or governmental health department mandate COVID-19 safety precautions during the time of the Event, I agree to follow these mandates.
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Woman Within Western USA “COVID Conscious”/”Standard” Weekend Options - January 2023*
Woman Within Western USA believes in women’s safety, choice and empowerment. We aim to ensure that every woman has the resources, information and ability to choose what feels right for her. Our goal is for all women to experience what makes the Weekend, and our community, so special. We understand that there are women who need and/or want COVID prevention protocols in place, and there are women who explicitly do not want these protocols.

To that end, we will be hosting two variations of the Woman Within Weekend: “Standard” and “COVID Conscious”.

At “Standard” (No COVID precautions) Woman Within Weekends, we will only:
1. provide optional masks and hand sanitizer,
2. provide stickers that indicate your comfort level regarding physical closeness to others,
3. have optional COVID rapid antigen tests available in case you become symptomatic,
4. provide support around determining how best to isolate and/or get home,
5. support you in choosing any of the above.
6. We will not require COVID testing at “Standard” WW Weekends.
At COVID-Conscious (COVID Precautions) Woman Within Weekends, we will be implementing COVID safety measures intended to prevent the spread of COVID. All participants and staff will be required to follow these safety measures.*

At “COVID-Conscious” (COVID Precautions) Weekends, we may:
1. Require proof of negative COVID test within 72 hours preceding the Weekend
2. Require rapid antigen testing upon arrival at the Weekend site
3. Implement social distancing, if needed
4. Implement masking if a staff member or participant tests positive for COVID during the Weekend
FOR ALL OF OUR WOMAN WITHIN WEEKENDS: With choice comes responsibility. We expect that if you feel unwell or display any symptoms of illness (whether a cold, the flu, Covid,or any other potentially contagious illness), you will NOT come to the Weekend. Wherever possible, we will support you by transferring your payment to another Weekend.

If a government entity (federal, regional, or local) issues public health mandates at the time of a Weekend, we will follow these requirements.

*For as long as applicable.
I've reviewed the Weekend Options above, and accept the terms of the Weekend I'm registering for.
Exclusions of Liability*
Without limitation, Woman Within Western USA, is not responsible or liable for bodily injury, death, delays, changes or losses caused by, but not limited to acts of God, war, pandemics, threat of war, closure of airports, civil strife, natural disasters, accidents or any other events beyond or within our control; participants' injuries, illnesses, medical or psychiatric conditions developed during or subsequent to events sponsored by Woman Within Western USA; loss of/or damage to personal property of participants.
I have read and understand the Exclusions of Liability.

Payment
Amount*
To reserve your spot, payment in full or a deposit of $200 needs to be received. PayPal will confirm payment directly to you.
Financial aid cannot be applied to the non-refundable deposits. If you apply for a scholarship, please pay the initial deposit and we will be in touch shortly with financial assistance details.
- Initial Deposit of $200
- Full Payment: $750
We have been able to maintain the Weekend fee at $725 for the past five years. Unfortunately, due to increasing costs (lodging, food), we will be raising the cost of registration by $25 (a 3.4% increase) for all Weekends after January 2023.
Total
$0.00
Payee*
Please enter the name of the person making payment.
Select Payment below to process payment for the Weekend*
You will be directed to PayPal when you click on "Submit" below. At PayPal you can pay by Credit Card, Debit Card, or PayPal Account.
- Payment
Our cancellation policy :

A $200.00 NON-REFUNDABLE, NON-TRANSFERABLE DEPOSIT RESERVES YOUR PLACE, with the balance due no later than four weeks prior to the weekend date. If you register less than four weeks prior to the training, payment must be completed within two weeks of receipt of the registration packet you receive by mail. Payment in full must be completed or a payment plan in place with the Scholarship Committee before you attend the Woman Within weekend. We will refund your paid fee (less the $200.00 deposit) if we receive your cancellation notice in writing no less than 21 business days prior to the first day of the weekend for which you have paid. If cancelled after that time, your paid fee (less the $200.00 deposit) will be transferred to another weekend of your choice within one year of your initial registration. Please be advised that a "no-show" without any prior notice will result in a forfeit of tuition.
Woman Within welcomes all women and prohibits discrimination based on race, color, gender, national origin, age, religion, disability, veteran’s status, sexual orientation and gender identity.
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Register for a Woman Within Weekend

How will your life be different? A Woman Within Weekend can bring you awareness you had not thought possible.

Step 1 of 4

About You

Payment

How will your life be different?
A Woman Within Weekend can bring you awareness you had not thought possible.