Name of person registering *

First Name

Last Name

If attending with a partner, please share their name *

If coming solo to the event, please just put N/A

First Name

Last Name

Best phone number to contact you *

(###)

###

####

This is meant for individuals who are over 18 years of age.

Please confirm that you are over 18.

Yes, I am over the age of 18.

Yes, we are over the age of 18.

Sovereignty + Self-Responsibility- wants, needs, desires, and limits

I recognize that I am entering into this space with the intention of deepening intimacy in my life. I recognize and understand that exploring my individual sexuality can potentially reveal some pieces that are outside of our comfort zones. I claim responsibility for myself and my feelings, and commit to speaking up to seek support.

I consent.

We consent.

Discretion/Confidentiality *

I understand that this retreat involves many aspects of intimacy. It is the privacy of this space that allows for the vulnerability, connection, and growth that I desire. I understand that it is important to respect what others share in the space, and that it remain confidential.

I agree.

We agree.

Statement of Consent *

You are entering into a private space that weaves in elements of intimacy. This is a statement saying that if at any point there is an activity or exercise that you do not wish to be an active participant in or witness, feel free to excuse yourself to another part of the house while we continue.

I understand and consent.

We understand and consent.

Cancellation Clause *

Due to the limited space and costs incurred for this event, if things come up and you must cancel: Up to May 20th- 75% refund Between May 20th to May 27th: 50% refund After May 27th- no refund

I understand and agree.

We understand and agree.

Refund Policy

Due to the costs incurred for this event, a refund is not possible. However, we will work with you in providing a positive alternative solution.

I understand.

Indemnity *

We understand that whatever we choose to participate in is of our own agency. We are aware and responsible for our choices and actions. We recognize that Jess the Playful Domme, Lisa the Poly Wife, and all team members do their utmost to hold a space of integrity, trust, and safety. Should either of us become challenged with any of the practices, we will bring our concerns to their attention. Finally, we each take ownership of our personal safety and do not hold Jessica Ste Michelle, Lisa Van Sand, the other team members or the properties where the event is held, liable for anything that may occur before, during, or after the retreat.

I consent.

I have questions.

We consent.

We have questions.