Healing Waters October 2025 Registration Form Healing Waters October 3-5, 2025 Registration Thank you for your interest in Healing Waters Retreat at The Inner Sanctum. Please use this form to register and pay for your ticket. We will send you an email when your registration is complete! If you have any questions please contact us here: inspiregratitude@gmail.comFirst NameLast NamePronoun she/ her he/ him they/ them OtherEmailPhone NumberAge 18-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99Why do you want to participate in this retreat?What is your prior experience with aquatic therapy, aquatic dance, and/or contact improv?How did you hear about the Healing Waters retreat?Are there any special accommodations or needs that we should know about you?Do you have any injuries or health conditions we should be aware of?Food Ticket price also include vegetarian/vegan meals, with the possibility of animal protein for one meal. Please indicate below which of the foods you DO NOT eat Gluten Dairy Eggs Chicken Red Meat Fish Oats Other grains (Corn, rice, quinoa) Legumes Night shades (tomatoes, bell peppers, eggplant, potatoes) Soy products Nuts Seeds I eat all of the aboveDo you have any food allergies or specific dietary restrictions not indicated above?Which ticket would you like to register for? $750 ( Regular Price Ticket) $925 (Supportive Ticket) Work trade Staff TicketTicket Options Financial Assistance Ticket- Limited number of discounted tickets are available for those who need some assistance to attend this event. Financial assistance tickets are $600-$675. If you are interested in one of these tickets please apply here. Regular Price Ticket- Regular priced ticket for this event Supportive Ticket- For those experiencing financial abundance. Your generous payment helps to support someone else attend as well Work trade- $375 in exchange for 12-14 hours of work trade. If you are interested in a work trade ticket please apply here.**Please do not register as a work trader unless you have already confirmed your position with Kelly. Early Arrival We are offering a new option for participants to arrive at 3:30pm on Thursday (10/2) the afternoon before the retreat officially opens. Dinner, camping, and access to The Inner Sanctum's facilities are included for early arrival participants. Bodywork sessions Private bodywork sessions will be available between 4-10pm on Thursday for an additional cost. You will receive the options for private aguahara and land-based sessions available on Thursday by email in the month of September. Would you like to arrive a day early on Thursday, October 2nd? Yes, I would like to arrive on Thursday (+$77) I will arrive on Friday.Accommodations All tickets include tent or car camping with limited spaces for sprinter vans under 28'. Once you submit this form you will be sent a link to The Inner Sanctum's accommodation and waiver system. Please follow that link to confirm your accommodation choice, pay for any upgrades, and sign the waivers. If you choose to arrive Thursday you will also pay for the additional night of accommodation through The Inner Sanctum's system unless you are tent or car camping. The link to finalize your registration will be sent to you upon registration along with detailed instructions. Add-on PackagesAquatic Immersion Package $225 Only 4 available Includes: One Aguahara session with Kelly One nose clip Mystery Art art pack by Jazzy Water Love Package $111 Only 7 Available Includes: Special small group 90 minute water healing experience One nose clips Mystery Art pack by Jazzy Which of the following would you like to add to your Healing Waters experience? Aquatic Immersion Water Love None Need more infoPhoto ReleaseIf you participate in this retreat, do you consent to having your photo taken and used for promoting future events? (i.e. on Kelly's webpage, fliers, Facebook promotion, Instagram posts, etc.) Yes, I consent No, I do NOT consentCommunity PrinciplesWe ask all participants to uphold the integrity of our communal space by adhering to our community principles & consent and safer container policies: PRINCIPLES: ReverenceIntegrity PresenceHarmonyHonestyCommunity effort and empowermentSelf-expression and participationBalance PeaceConsent COMMUNITY VALUES:Inclusivity Learning & Sharing KnowledgeAuthenticitySpirituality Nourishing, Peaceful & Supportive InteractionSelf-careCreating transformational healing experiences togetherSacred silliness Healing Waters Policies: Inclusivity: We welcome people of all races, genders, body types, physicality, age (18 and over), sexual identity and orientation, etc. Consent and Boundaries: We empower all participants to state their own boundaries and require that you respect each others' as well. Nudity: You may choose to be topless/nude on the front patio and in the sauna (Please sit on a towel). We ask that participants wear swimsuits for all class sessions and dance jams. Sensual Expression: As the nature of investigation in water can be sensual, expression of this experience is often present. This is a touch-positive, consent-oriented, intimate space where people may hold each other close, snuggle, and heal through conscious touch. Sexual activity: To keep our container comfortable for everyone & focused on our aquatic investigations and healing, we ask that sexual activity be contained to your tent/car/RV. Drugs & Alcohol: No drugs or alcohol, please. Cannabis friendly, fire conscious (Please only smoke in our smoking area.) Pets: We ask that you not bring your pets. There is a senior dog currently living at the Inner Sanctum. Children: This retreat is an 18 and over event. Deal Breaker: It is critical that we all do our part in creating a safe container for all participants’ healing journeys. If any action taken by a participant conflicts with Healing Waters/ Inner Sanctum's Policies, choosing to do so may result in removal from the retreat without refund.Are you willing to agree to this? I agree to the principles & consent policiesLiability Waiver Please read the following liability statement sign in the submission box if you understand the terms of this agreement. NO LIABILITY/INDEMNIFICATION/HOLD HARMLESS: The Inner Sanctum Inc., John Delaplaine, Kelly McRee, and Jazmine Pignatello do not assume liability for the loss, theft, damage or injury (or death) to persons or their personal property. Participants in the Living Waters Residency agree to indemnify and hold the owners harmless for any liabilities, theft, damage, cost or expense whatsoever arising from or related to any claim or litigation which may arise out of or in connection with guests’ use and occupancy of the rental property, including but not limited to claims for personal injury or property damage/loss.If you agree please TYPE YOUR NAME in the box below:Do you have any questions?I have a coupon code Yes NoCouponApply CouponNo payment items has been selected yetPay with Card (Stripe)Credit Card Convenience FeeSubmit