Healing Waters May/ June 2025 Registration Form Healing Waters May 30- June 2, 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 and Accommodation We will be offering tent or car camping with limited spaces for small RVs (less than 28'). All ticket prices include tent/car/small RV camping. 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 eat Eggs Gluten Dairy Oats Fish Chicken NightshadesDo you have any food allergies or specific dietary restrictions?Which type of accommodation would you like to register for?Select OneTent CampingCar CampingSprinter or Step Van (or similar sized rig)RV under 28'RV spot with water hookup +$77 (only 1 available)Dorm room bed +$50Ticket Options Financial Assistance Ticket- For those who need some assistance in order to attend this event Regular Price Ticket- Regular priced ticket for this event Sponsorship Ticket- For those experiencing financial abundance. Your generous payment helps to support someone else attend as well Which ticket would you like to register for? Financial Assistance Ticket: $575 Financial Assistance Ticket: $650 Regular Price Ticket: $725 Sponsorship Ticket: $900 Work trade StaffAdd-on PackagesAquatic Immersion Package $275 Only 4 available Includes: One Aguahara session with Kelly One pair of leg floaties (handmade by Kellyfish) One nose clip Bonus surprise art pack by Jazzy Water Love Package $111 Only 7 Available Includes: One nose clip Special small group 90 minute water healing experience Bonus surprise 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 are two older dogs 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 policies I do NOT 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?No payment items has been selected yetCouponApply CouponCredit Card Convenience FeePay with Card (Stripe)Stripe test mode activatedSubmit