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

The safety of staff and participants during the Weekend is our top priority. WWWUSA has put in place measures to reduce the risk of COVID-19 spread.
Please review the below before proceeding with your registration. Acceptance and acknowledgment of these measures are required for participation in the Weekend.
COVID-19 Notice and Safety Acknowledgement*
PLEASE READ THOROUGHLY BEFORE REGISTERING

Woman Within Weekend (“Event”) COVID-19 Safety Acknowledgement

Woman Within Western USA (WWWUSA) prioritizes safety at all events. CDC guidelines and local measures for COVID-19 safety protocol will be followed. To ensure use of the most up-to-date guidelines, we will inform all participants approximately 21 days prior to the Event of any specific protocol that will be implemented.

One or more of the following may be a requirement:
● Self testing at home and/or on site
● Face coverings
● Social distancing

Refunds will not be given due to COVID-19 protocol changes or misunderstandings. Do not register for this event if you would be unable to adhere to these safety protocols.

You are required to inform us immediately If you (or someone for whom you are caretaker) test positive for COVID-19 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.

By checking the box below you agree to the following:

● WWWUSA cannot guarantee that those attending the Event will not become infected with COVID-19. You voluntarily assume risk of exposure or infection which may result in illness or death.

● If a COVID-19 infection occurs before, during, or after participation in the Event, you forfeit the ability to make any claims based on the actions, omissions, or negligence of Woman WWWUSA, its staff and representatives.

● 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, 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.

Please check the box below to acknowledge that you have read and accepted these terms and conditions, and agree to follow safety protocols set in place by the local state, the Event site, and WWWUSA.

I acknowledge and accept the COVID-19 risks and precautions outlined and commit to following any and all safety measures required at the Event. I acknowledge that any specific protocol for the Weekend will be shared approximately 21 days prior to the Event.

Choose your Weekend to Register*
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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*
Enter Email Confirm 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.
Keep me informed
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

About You
Do you have any dietary requirements?
Do you have any physical limitations or other restrictions?
Do you have a close friend or family member staffing or attending this Woman Within Weekend?
Add what is your relationship to her/them and is there anything else we need to know?
We will never ever share your private information with a third party. Your information will be used to inform you of the status of your registration, upcoming news, events, and workshops that we host You may opt out at any time by contacting communications@womanwithinwesternusa.org.
Sharing contact info*
In order to share travel arrangements and follow up after the Weekend, my contact email and phone can be shared with other women attending the Woman Within Weekend.
- I agree
- No sharing with other participants please.

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 of $725
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
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.
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 ScholarshipCommittee 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.
Phone
This field is for validation purposes and should be left unchanged.

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.