MAY 12-17 PLEASURE CHURCH Retreat PORTUGAL Registration Form

Name*

First NameMiddle NameLast Name

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

example@example.com

Mobile Number*

What are your pronouns?

This event is for vulva owners/women or non-binary folks on the she/they spectrum with vulva's, please check to confirm you understand.*

Yes

Please check all boxes that apply to you!*

I'm feeling nervous but excited to meet my edgesI'm really needing time away to prioritize more pleasure and self-careI'm longing for deep meaningful connection with othersI'm willing to take some emotional risk to connect and better understand myselfI can't wait for delicious, nourishing healthy catered snacks & meals around a table with communityI'm comfortable/comfortable enough with nudityI'm looking forward to the genital gazing/guided self touch workshop (and maybe a bit nervous!)

What are you hoping to get out of the experience?*

What are you feeling most excited about? Most nervous about?*

This is a scent free event, as some folks have reactions or allergies to strong deodorants, laundry detergent, perfumes etc. (essential oils fine)*

Yes

Flights are NOT included in price of retreat, please confirm you understand you are responsible for paying for and managing your own travel*

I understand

If you are needing transport from airport to retreat location, we can arrange this for you! There will be two different time slots for hotel pick up, this will be discussed closer to the date*

I will need transport from airportI'll take care of this on my ownNot sure yet!

Some rooms are Shared Rooms, are you comfortable sharing a room? If you're coming with a friend and want to room with them, let us know here. Please also let us know if you're a light sleeper, if you snore, if you're someone who putters at night, etc*

Do you have any food allergies or sensitivities? Let us know if you're vegetarian, vegan or if you eat meat. Feel free to also let us know any favourite comfort meals or snacks, they may end of on the menu!*

Are you aware of your triggers or what might likely activate you? What helps you feel more safe? How do you care for yourself when activated or triggered?*

Pleasure Church welcomes your 'NO'. We affirm it and encourage it. You are not obligated to participate in any exercise or exploration that you're not into.And, in saying that, this workshop contains nudity, possibly BDSM exploration, genital gazing, somatic touch exercises (consensual), playfulness, and space to share honestly. It's edgy. Are you up for that?*

Heck YesNervous but yesNot yet, I'll give it some time before signing up

Because of the nature of the event, I like to know who's attending. I ask all participants to share Social Media handle so I can vet you. Share either your FB, IG, or TT account below.*

No photo taking without the consent of participants. During workshops, there will be no electronics. If you're taking a photo of the space or scenery, please be sure no one is in the photo unless consenting. Please share that you agree below. *

There will be a photographer onsite, closer to the date we will check in with participants about photo consent, if you're comfortable being in photos or if you'd like to NOT be photographed so we can ensure a safe and comfortable environment. There will also be an opportunity to do a private photoshoot for yourself! This would be for only you, you can decide to add this on closer to the date. Please write that you understand!*

Additional Comments or questions?

Do you agree to ensure safety and confidentiality between participants of PLEASURE CHURCH? (This includes only posting pictures with permission from those in the photo, never sharing or repeating anyones personal information, not mentioning in public that you met so and so at PC). Do you understand that confidentiality and trust are of utmost importance in creating a safe enough space?*

Yes

This event is MAY 12-17, 2024. Please confirm that these dates 100% works for you and that you are able to arrange your own transportation to and from PORTUGAL, as there are no refunds issued once you've registered (although, partial payment can be transferred to another event)*

Disclaimer: This retreat will have nudity, as well as a nude workshop that will teach self touch and masturbation techniques. This is an edgier part of the retreat and is the main event. If you're not comfortable attending this portion, there will be a different outing planned. By signing below, you are acknowledging that you are aware that this event contains nudity, and a guided masturbation workshop.*

PLEASURE CHURCH RETREAT PAYMENT

Regular Pricing

$3,400.00CAD

Three Month Payment Plan

$1,135.00CAD

FRIEND PRICING (come with a friend or partner, share a bed and save!)Want to come with a friend and share a Queen bed? We're offering special pricing for you both! Only two spaces available for this option.

$3,100.00CAD

Past PC participant pricingIf you've already attending PC, this pricing is for you, valid until Jan 31~

$2,900.00CAD

EARLY BIRD

$3,200.00CAD

Sliding Scale (only use this option if we've discussed this)Please reach out as there are limited sliding scale spaces

$2,400.00CAD Quantity

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Refunds are not issued. Please be sure that the dates work for you, and you don't have any conflicting events. In the event of an emergency, please contact us as soon as you're able. If you choose to back out of participating for whatever reason, I'm happy to transfer your credit to another workshop, retreat, program or coaching within the next year (minus a registration fee). Any cancellations less than 30 days prior to the event are subject to forfeiting full investment. If in the event that something occurs and I need to postpone event, you will get first dibs on the rescheduled date, or you can have your funds transfered to coaching or any other program I offer. By paying, you are agreeing to this policy.