First Name: 
Last Name: 
DOB (mm/dd/yy): 
City, State ZIP: 
Daytime Number: 
Evening Number: 
Cell Number: 
Email Address: 
Are you a Member?: 
Ladies In Stride Team: 
Are you a LIS Captain?: 
Emergency Contact- Name and Number: 
How did you hear about our Retreat (person/event)?: 
My Stateroom Number is:  
Roommate #1 is (if any):  
Roommate #2 is (if any):  
Roommate #3 is (if any):  
Roommate #4 is (if any):  



The Retreat Fees for all Participants: Adults: $30 ~ Y.L.I.S.: $20 (ages 13-20 yrs old)
Land Excursion:  Paradise Island ~ Atlantis Resort Beach Day: $90*
(Payment needed ASAP To Reserve Tickets)
All online registrations will incur a $5.00 processing fee.

**Retreat Fees are due to L.I.S. on or before March 16th 2018** ($90 Land Excursion Payment Due Now)
** Retreat Fees include: Medical Screenings, Supplies, & Awards
               (Please keep in mind that your Retreat Fee is transferable but nonrefundable)

   Payment Options $90 Land Excursion to Paradise Island - Atlantis Beach Resort Day(Due ASAP to reserve tickes)
$30 Adult Retreat Fee
Y.L.I.S.: $20 (ages 13-20 yrs old)

Optional L.I.S. Apparel

SelectQuantityItem DescriptionSize
L.I.S. Purple Wrist Band $3.00/ea 
L.I.S. Lapel Pin $5.00/ea 
L.I.S. Sun Visor (white) $12.00/ea 
L.I.S. Sun Visor (black) $12.00/ea 
L.I.S. Cap (white) $12.00/ea 
L.I.S. Cap (black) $12.00/ea 
Purple Tank-Top (S - XL) $20.00/ea
Purple Tank-Top (2X - 4X) $22.00/ea
Black Tank-Top (S - XL) $20.00/ea
Black Tank-Top (2X - 4X) $22.00/ea
Purple T-Shirt (S - XL) $18.00/ea
Purple T-Shirt (2X - 4X) $20.00/ea
Black T-Shirt (S - XL) $18.00/ea
Black T-Shirt (2X - 4X) $20.00/ea
Purple V-Neck (S - XL) $20.00/ea
Purple V-Neck (2X - 4X) $22.00/ea
Black V-Neck (S - XL) $20.00/ea
Black V-Neck (2X - 4X) $22.00/ea

Shipping charge minimum of $6.75 will be applied. You will be contacted if shipping charges exceed the minimum.


The Deadline for your FINAL Cruise Payment to be made to Carnival Cruise Line is April 8th 2018

Carnival Cruise Line number is 800.438.6744 Ext. 70005
Our Group Booking Number is 8FD6T1
PIN is 1995 ~ Cruise Ship Name: “The Liberty”
Cruise name is: "Ladies in Stride Wellness Cruise"



  As a participant of L.I.S. 6th Total Health & Wellness Caribbean Cruise/Retreat, if I should choose to participate in any or all of the activities planned by L.I.S. Inc., I hereby for myself, my heirs, executors & administrators, do waive & release any & all rights & claims for damages & injuries against L.I.S. Inc., board members, organizers, sponsors & assigns for any & all claims of liability. I am also aware that some of the photos & videos taken during this cruise/ retreat may be used to promote future L.I.S. Retreats and help to increase membership. If you are under 18yrs of age, a legal guardian’s signature is required.