Summer Solstice June 19-21 Retreat

Welcome!
You are invited to commune in a Summer Solstice Ceremony June 19-21 with the medicine of Huachuma.

Location: Mountain Ranch, CA (Address will be given upon registration)

Arrive at 5pm on Friday June 19th, Leave on Sunday June 21st in the afternoon

Accomodation options available: Car camping, camping on the land, several private room options

Food and Meals: We will offer vegetarian meals with gluten free options. Some items will be community sourced.

Registration Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate

MonthDayYear
Date
Preferred method of contact
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship

Waiver of Liability
In consideration of being allowed to participate in this event, I hereby (who goes by the NAME SIGNED AND PRINTED BELOW), RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the event’s leader, organizers, hosts and participants from any and all liability, claims, demands, or course of action whatsoever arising out of, or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me whether caused by the negligence of release, or otherwise, while participating in this event, or while in, on or upon the premises where the event is being conducted. To the best of my knowledge, I am in good physical condition and I am not aware of any physical and physiological infirmity, which would place me at risk to participate in any way with the meditation activities. I am fully aware of the risks and hazards connected with this event. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to property owned by me as a result of being engaged in the event's activities whether caused by the negligence of release, or otherwise. In signing this release, I acknowledge and represent that I have read, understood and signed the form voluntarily; I am an adult, of at least nineteen years of age or older, and fully competent; and I execute this Release for full, adequate and complete considerations fully intending to be bound by same. This waiver applies to all present and future work with this leader.
Type your FULL NAME to consent that you agree with the above WAIVER OF LIABILITY
Sign to consent that you agree with the above WAIVER OF LIABILITY

Your Contribution
We ask for $900-500 for the retreat. Lodging costs are additional and vary depending on your selection. A list of accomodations are listed below.

$900 is the amount that will cover all our expenses and will also compensate for those who wish to be a part of this work and are unable to afford the full amount.

$500 is the minimum amount that allows this work to be sustainable.

Please take some moments to feel what contribution amount feels right for you.
Please enter the total amount that you will be offering in reciprocation for your retreat based on the sliding scale given. This amount does not include cost for lodging. You will enter that below this section. *Sliding scale is to offer options for those that can’t meet the higher tier.
A $300 deposit is to be sent via Venmo (@Madhu-Anziani) or PayPal (to madhusahu@protonmail.com and select 'friends and family')

(On Venmo or Paypal in the note section, please write 'Solstice')

Your remaining amount (Plus your cost of lodging below) is to be brought in cash upon arrival.
Accomodations
We will supply towels for showers and sauna/cold plunge

Bring your own Tent - $50

We supply Tent and bedding $100

2 person small yurt $150 per person

2 Bed Quanset Hut (dorm) $150 per person

2 person large yurt $150 per person

Car camping and Camper vans are welcome. No hookups.
Please enter your preferred method of lodging.
I have sent my $300 deposit
Should be Empty:

Welcome!

Registration Form

Health & Medical Information

Waiver of Liability

Your Contribution

Accomodations