Registration for Contact Improvisation Weekend Retreat: Soften, Enliven, Connect

Welcome to Registration for our Contact Improvisation Weekend Retreat: Soften, Enliven, Connect Retreat

We look forward to dancing with you this March.

To register multiple individuals in the same order (one payment), fill the form out multiple time before proceeding to the cart (to review the order).

"*" indicates required fields

Name*

First Last Pronouns

Email*

Enter Email Confirm Email

Phone*

Food!

We work to provide nourishing, ethically sourced food to meet a wide range of dietary restrictions and preferences. There is always fridge and pantry space available for any personal items you choose to bring with you, but please tell us what food helps you thrive, and any foods you avoid.

Access = Love. Is there anything about your physical or mental condition that might impact your stay at WildHeart? If so, what support can we provide?

"Name your price" Sliding Scale Program Fee: $99-300*

20 spots available

***Paying at the higher end of the Program Fee sliding scale MAKES IT POSSIBLE for us to offer a sliding scale sliding scale in the first place, along with free BIPOC spots. Please pay at the level that you are able.***

Housing Preference (all prices include food and drink)*

Emergency Contact:

Emergency Contact's Name*

First Last

...relationship to you:*

their email*

and phone number*

How do you plan to travel to WildHeart?*

Other?

If you have participated in WildHeart programming before, which event(s)? If not, how did you hear about us?

Is there anything else you'd like us to know about your stay?

Total

After clicking "Submit" below, you will be redirected to payment options.

Name

This field is for validation purposes and should be left unchanged.

Subtotal
$0.00
Options
$380.00
Total $380.00

Alternative:

Once you’ve filled out the form, please click “Add to Cart” and you will be redirected to the cart. If you are registering more than one person, you can fill out the form multiple times before checking out.

On the cart page, make sure you only have the number of registrations you intend to pay for… you can use the “X” to remove registrations in the cart.