Application for Sacred Touch Plainfield MA 12/12-12/14 2025
Apply for our 3 day, all inclusive retreat. Nightly accommodations, all meals & trainings. Located at Nine Mountain Retreat Center in Plainfield MA.

NOTE: We expect to have more applications than spaces. Please be sure that you look for a notification about your acceptance via email.

We will limit the retreat to 20 people including organizers. Because of the limited attendance, we will not be selling part time tickets.

If you attend as a single, please be wiling to practice with someone you find at the retreat. There is a discount code offered if you sign up partnered (2 tickets). Couples of any sexual preference are welcome. Please note that one day is dedicated to working with the Lingam & one is dedicated to working with the Yoni. We will be balancing the single people based on physiology (Lingam/ Yoni) not gender or sexual orientation. 
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Email *
Full Legal name *
Date *
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Phone number  (format 123-456-7890) *
City, State (and country if other than USA) *
Facebook link
consent to text
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Are you willing to use whatsapp to communicate with the group? This helps us save time and answer everyone's questions together.  *
Age *
Physical Anatomy *
Dietary needs *
Emergency Contact (name & phone number) *
What experience do you have with similar work? *
Are you attending with a partner? *
How did you hear about us? *
Please enter your referral code if you have one (type n/a if none) *
Event guidelines:
* No Pets.  
* This is a substance free event, please leave alcohol and drugs at home.    
* All interactions with others are by mutual consent, based on respect and clear communication.  
* No public sexual activity, keep it private or in designated spaces. 
* Refrain from wearing strong scents to help others who are chemically sensitive.
* No violence or loud public arguments or disturbances of any kind tolerated.  
* Keep quiet, especially in the shared sleeping spaces after 10 pm so others can sleep.
* Failure to comply with these guidelines could result in you being asked to leave without a refund.
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Health & Well Being Agreement:
If you have any symptoms of illness, please to not attend the training. (Fever, respiratory infection, vomiting, gut issues or alike) In other words... if you wouldn't want someone to give it to you, then please don't share it either. If you need to cancel due to illness within 7 days of the event, we will refund all of your money IF we can fill your spot, or half if we cannot. 
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Required
Pricing options:  *
Do you have a preference about who shares your sleeping space? Will you be attending with a partner? Please explain. *
Are you potentially needing/ wanting transportation from the airport & wiling to contribute to the gas/ cost? *
Are you available to provide a ride from a local airport? If yes, please specify which airport. 
Will you be paying in full or need to arrange a payment plan? *
Payment method? *
Ok... now for the "Legalese" ;)

Release & waiver agreement

I.    Definitions: ”Activities" shall mean all programs, classes, training and instructional sessions, events, and exercises offered by Aiua Wild, Ravi Rose & Erik Slavin, or any other entity, organization, or individual in conjunction with Wild Nature Retreat, LLC.

“The Released Parties” shall mean Aiua Wild, Ravi Rose & Erik Slavin or any other entity, organization, or individual in conjunction with Wild Nature Retreat, LLC.

II. COVID-19: The novel coronavirus, COVID-19, and it’s variants, have been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. In keeping with Federal, State and Local guidelines, The Released Parties have put in place comprehensive preventative measures aimed at preventing the introduction to and the spread of COVID-19 during the Activities; however, despite our mitigating efforts, we cannot guarantee that you will not be exposed to COVID-19 or its variants during your use of the Activities. Therefore, without limiting the foregoing limitation of liability, the following terms and conditions are effective for the Activities:

III.    Assumption of Risk: I acknowledge the contagious nature of COVID-19 and variants and that, despite The Released Parties effort to mitigate such dangers, I may be exposed to or infected by COVID-19 or variants during my participation in the Activities, and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 or variants may result from the actions, omissions, or negligence of myself and others. I assume all of the foregoing risks and are solely responsible for any resulting injury (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, related to COVID-19 or variants, that I may experience or incur in connection with the Activities (Claims).

IV.    Waiver & Release: I release, covenant not to sue, discharge, and hold harmless The Released Parties, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. This release includes any claims based on the actions, omissions, or negligence of The Released Parties, its employees, agents, representatives, vendors, and independent contractors whether a COVID-19 or variants infection occurs before, during, or after participation in the Activities.

VI.  Miscellaneous:
(a) This Agreement shall be governed by and construed under the laws of the State of Hawaii, U.S.A.
(b) This Agreement shall be effective indefinitely and shall apply to all contemporaneous agents, representatives, officers, directors, principals, successors, affiliates. subsidiaries, employees, and all other persons acting on their behalf of any Released Parties, including but not limited to The Released Parties, or any other entity, organization, or individual assisting in the Activities or Use of the Facilities, which persons shall be express third-party beneficiaries of this Agreement.

I hereby certify that I am over 18 years of age. I have carefully read the foregoing of this document and acknowledge that I understand and agree to be bound by all of the above terms and conditions.
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REFUND & CANCELATION POLICY

Substitutions of attendees may be made at any time.  Attendees must cancel by midnight, Eastern time, November 7, 2025 to receive a full refund minus 10% cancellation fee per person. Cancellation requests received after November 7, 2025 or failure to appear for the event will result in forfeiture of the entire course fee, unless we can fill your spot. In which case you will get all but 10% of your paid registration fee back.

The exception to this is the Covid refund policy, which states if you cancel in the last week because of a confirmable case of COVID, you can get all your money back if we can fill your spot, or half if we can't.

Cancellation requests must be received by email to Aiua at sensuousrevival@gmail.com. You are responsible for ensuring that we receive your written request. We will reply by email with a written acknowledgement. Cancellation refunds will be completed via cashiers check or venmo.

Aiua Wild, & Erik Slavin reserves the right to cancel or reschedule events at any time. This is very unlikely to happen. If they cancel or reschedules the event due to low enrollment, weather, or unforeseen circumstances beyond their control, you are entitled to a full refund, but they are not responsible for travel arrangements, travel fees, or any expenses incurred by you as a result of such cancellation.

If they cancel an event is which you have registered, you will be contacted at the email address you provide when registering, so please be sure to provide a valid email address.
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