BLACK ARTS RETREAT HAITI 2018 Registration
REGISTRATION IS FULL!
Black Arts Retreat Haiti is sold out! You are welcome to complete this form and be added to our waitlist. Thank You!

Dec 27, 2018 - Jan 4, 2019

Dive into Healing Waters: Black Arts Retreat Haiti


BLACK ARTS RETREAT HAITI FEATURES:

Nature Immersion * Medicinal Herbs Class * Kreyol Language Class * Rhum Distillery Tour
* Hiking * Beach Excursions * Museum Visits * Botanical Gardens * Artist Talks * Live Music Concerts * Drum and Dance Class * Performance Opportunities * Meditation* On-Site Translator * Haiti Independence Celebration * Community Art Making *


Register for this trip by May 31st with a deposit of $250 and the total cost $1,600. After May 31st, the cost of this trip increases to $1,700. Tuition includes all activities, meals, accommodations, local transportation and on-site translation. Transportation to and from Haiti is not included in the price of this trip; participants are expected to arrange their own travel. Participation in Black Arts Retreat Haiti is open to all aged 18+! Please note that spaces are very limited and will be allotted on a first come first served basis.


TO REGISTER:
Complete the form below, then follow this link to reserve your spot with a $250 non-refundable deposit until May 31st. After May 31st, the cost to register increases to $350. Registration for Black Arts Retreat Haiti ends June 30, 2018.

https://squareup.com/store/blackartsretreat


Follow us on instagram @blackartsretreat to see photos from past retreats & stay up to date!
There will be private conference calls and other communications to support all Registered Participants throughout 2018 leading up to the New Year Trip!

TRAVEL NOTES:
Participants are responsible for arranging their own flights to Haiti . We will support you in coordinating your travel with other Retreaters. We ask that Retreaters prepare to arrive in Port-au-Prince no later than 2pm on Thursday December 27th.
Please check in with BAR TEAM before you purchase your flight.

We are traveling through PAP, Toussaint Louverture International Airport in Port-au-Prince.

Please note that because traveling is your responsibility we do not provide refunds based on travel related issues.

FEEL FREE TO EMAIL BLACKARTSRETREAT@GMAIL.COM with any questions.
Thank You!

Email address *
First Name *
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Last Name *
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Name you prefer to be called
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Address Line 1 *
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Address Line 2
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City, State, Zip Code *
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Best number to reach you *
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Emergency Contact Name 1 *
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Emergency Contact Relationship *
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Emergency Contact Number 1 *
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Have you been to retreat before? *
Tell us about yourself: What skills, talents, and/or perspective do you bring to the retreat? *
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What would you like to gain from this retreat experience? *
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Do you have any of the following skills useful for outdoor activity? *
Required
List any food restrictions or allergies you may have *
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Do you have any additional allergies or sensitivities you want us to be aware of ? *
there will be open fire and essential oils used during this trip: list any smells/ sights etc that may bother you
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Please check all that apply *
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The Retreat will be held at locations with shared rooming arrangements. Do you have any preferences about with whom you share a room? *
if you would like to share a room with someone in particular please indicate that here.
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Do you have any emotional, pyschological and/or physical challenges that could effect your participation during this trip? **Please note that health information will be kept Confidential, and is gathered to both accomodate and protect participants** *
Activities include Hiking , Dance, etc.
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Are you currently taking any medications (perscription or over the counter) ? *
If Yes, please list
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Do you experience from any of the following... *
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Would you like to be supported in a payment plan?
If so, we will follow up with a proposed payment schedule
Do you have any questions, comments, concerns or suggestions for the hosts of this event?
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Terms and Agreements: I agree to respect and honor myself all the participants of this trip. I will not engage in any behaviors deemed uncomfortable or unsafe by the Black Arts Retreat community. I am aware that I am fully responsible for my own safety and expected to contribute to the safety of other Retreat participants. I take full responsibility for my emotional, psychological and physical well-being throughout this Retreat Experience. I will follow the local laws of Haiti and honor the agreements of the Black Arts Retreat community. I understand that if I do not adhere to these agreements that I may be asked to leave immediately and forfeit any payments made towards the Black Arts Retreat. I understand that I am responsible for any damages, personal harm, or injury incurred during the time of the Retreat. I recognize that organizers of the Black Arts Retreat and their affiliates are not responsible for any damages incurred. *
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