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Rest Renew Remember Retreat

Retreat Sign Up Form and other Details

Sign up before 12/15/2024

Shared Rooms - $1599 per person
Private Rooms - $2199 per person

Three Person Rooms also available 

Sign up after 12/15/2024

Shared Rooms - $1999 per person
Private Rooms - $2599 per person

Three Person Rooms also available


Come alone or bring a friend and share a room together. Some rooms can accommodate up to three people.

Private rooms are also available.

If you are open to sharing a room with someone you don't know, please let us know and we will try to find you a roommate. If we are unable to match you with someone, your rate will be adjusted. 
 

PAYMENT & CANCELLATION POLICY

  • Pay in full OR pay $500 to save your spot (non-refundable). 

  • All payments in full must be made by February 28th, 2025.

  • Cancel by January 3rd, 2025 for a full refund (minus the $500 deposit).

  • Cancel between January 4th and February 27th, 2025 for a 50% refund (minus the $500 deposit).

  • There is no refund for cancellations after February 27th, 2025.

Refund rules are in affect due to associated costs such as retreat site, accommodations, special guest speakers, swag bag, and other preparations for this event. Cancellations may be transferred to another person. 

Questions with sign up or payment? Contact Jennifer@mindfulbodywithsoul.com

Please fill out the registration form below and press SUBMIT. 

Payment options can be found under the SUBMIT button.

Rest Renew Remember Retreat 2025 Sign up Form

April 10th - April 13th 2024

Mindful Body With Soul ~Jennifer Merritts

Preferred Pronoun
If yes, would you say you are:
Beginner
Intermediate
Advanced
Are you bothered by scents (essential oils, incense, perfumes etc.)? If yes, please let us know the details.
Yes
No
***We respectfully ask participants to refrain from using/wearing heavy perfumes which can be toxic or inflammatory to certain individuals. Please indicate you have read and understand this request by selecting a choice below.
I agree
I disagree
Please mark which of the following is most important to you at this retreat.
Are you signing up for a private room or shared room?
Private Room/Private Bath
Shared Room/Private Bath
Do you think you may be interested in scheduling a private psychic reading with Kelly Melka? (Note: These 30 minute sessions are $80 and must scheduled no later than 3/10/25. Some appointment times may be during other scheduled events.)
Definitely
Definitely Not
Maybe! Ask me again later.
Do you think you may be interested in scheduling a private muscle testing session with Dr. Lisa Atkinson? (Note: These 30 minute sessions are $25 and must scheduled no later than 3/10/25. Some appointment times may be during other scheduled events.)
Definitely
Definitely Not
Maybe! Ask me again later.

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY

I hereby agree to the following:

I am signing up to be a participant in this retreat.

As I participate in activities offered by the hosts and special guests, I understand that the offerings of this retreat/workshop are not a substitute for medical attention, examination, diagnosis, or treatment. I will receive fitness/wellness/spirituality related information and instruction. I recognize that some retreat/workshop activities may require physical exertion that may be strenuous and the possibility of physical injury exists and I am fully aware of the risks and hazards.


If at any time during the activities I feel discomfort or pain, I will inform the teacher and seek assistance accordingly.

I may rest at any time during the class, and throughout the duration of the retreat/workshop I will listen to my body and respect its limits on any given day. I understand that I have the freedom to participate in as much or as little of the planned activities as I feel physically, mentally, emotionally, and spiritually comfortable with and capable of.

I understand that it is my responsibility to consult with a physician prior to arriving at the retreat/workshop regarding my participation in this event. I represent and warrant that I am physically fit, have sound mind, and I have no medical condition that would prevent my participation in the activities of this retreat/workshop.

I recognize that it is my responsibility to notify the teacher of any serious illness or injury before I engage in any retreat/workshop activities.

I accept that neither the retreat coordinators, guest speakers, or the hosting facility are liable for any injuries or damages to my person or property resulting from my participation in this retreat/workshop.


Payment: I am aware of and agree to the following payment policy:

-Initial payment must be in full OR a $500 deposit to save your spot (deposit is non-refundable). 

- All payments in full must be made by February 28th, 2025.

- Cancel by January 3rd, 2025 for a full refund (minus the $500 deposit).

- Cancel between January 4th and February 27th, 2025 for a 50% refund (minus the $500 deposit).

- There is no refund for cancellations after February 27th, 2025.

Refund rules are in affect due to associated costs such as the retreat site, accommodations, special guest speakers, swag bag, and other preparations for this event. Cancellations may be transferred to another person.


Photography: I understand photos may be taken during some/all of this event. The purpose of this photography is for the use of future marketing material. If I do not wish to be in these photos, I will notify the retreat leader prior to start of retreat/workshop.


Exclusion of Participation: In the unfortunate circumstance that a participant conceals physical and/or health issues, is unfit, and/or causes disruptions that endanger the experience, safety, or well-being of other participants, facilitators, guest speakers, or their property the participant can be excluded from the participation of the retreat/workshop after an initial warning. If the participant is excluded, the contract will be terminated without further notice, already paid costs are non-refundable and incurring costs are to be paid by the removed participant.


I have read the above policy and release and waiver of liability and I voluntarily agree to the terms and conditions stated above. I agree my electronic signature below represents my own legal signature.


After signing, click submit and then scroll down to forms of payment.

If you are not using Venmo, Zelle, or PayPal, and would like to pay by cash or check please contact Jennifer Merritts 703-737-0341.

Payment:

When you sign up by 12/15/24:

Shared Room $1599
Private Room $2199

OR
Deposit $500

Venmo
@Jennifer-Merritts
or scan the QR code with your camera

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Zelle
search for 
Jennifer.L.Merritts@gmail.com in your Zelle account

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