Reset Button Retreat Application
HEALTH RELATED QUESTIONS
RETREAT MODEL & PARTICIPATION GUIDELINES
By submitting this registration form, I am seeking to participate in the Reset Retreat for First Responders. I understand that each retreat has a maximum of fourteen participants. In this retreat, I will be taught an array of strategies to manage stress (such as meditation, guided imagery, biofeedback, working with drawings, breathing, movement). The retreat combines didactic learning, experiential learning, practice and group support. The Reset Retreat is an educational program and this experience is grounded in self-reflection modalities that may bring up strong, transformative emotions within oneself as well as being witness to other’s emotions and experiences within the other participants. We find that sharing and connecting with others creates a wonderful learning environment, helping you become more self-aware and engaged in self-care.
Regular opportunities for sharing are offered in support of building both self-expression and connection with others. Sharing is encouraged yet unforced.
EXPERIENTIAL ACTIVITY & ACTIVE PARTICIPATION
EMOTIONS & SHARING
AWARENESS OF SIGNIFICANT OTHER/PEER IN GROUP
REQUIRED INTERVIEW BEFORE GROUP
FEE/Payment option: Total for 4 day Reset Retreat including transportation NOT including flight is $1,500/person.
Payment Option 1: Pay full price for retreat upfront with discounted rate of $1,300 no later than July 15th, 2023.
Payment Option 2: Pay 1st- half of total price ($750) by June 15th & Final half ($750) by August 15th, 2023.
CANCELLATIONS & REFUND POLICY
We expect the demand will, unfortunately, outweigh our ability to provide space for everyone that wants to participate. We kindly request that you email me at Bev@shieldus.app with as much advanced notice of the retreat start date if you are no longer able to attend so that we can offer your spot to another person.
The participant understands that payment for retreat enrollment may be eligible for a partial refund if canceled according to the following terms: (a) if canceled 30 days or more before the beginning of the Reset Retreat, SHIELD US Co. will refund 50% of the payment minus a $50.00 processing fee; and (b) any fees charged for enrollment are non-refundable. Aside from cancelation, the participants enrollment credential is transferable to a future Retreat, or to another Fire or Law Enforcement woman without any fee, provided SHIELD US Co. is notified of the name of the transferee woman in writing no later than 5 days before the Retreat begins. There are no exceptions to these time frames.
Any participation in SHIELD US Co. online offerings, trainings and retreats, is entirely voluntary and participant assumes all potential risks. Any experience or services are provided "as is," without warranty of any kind, either expressed or implied, including without limitation any warranty for information services, coaching, uninterrupted access, or products and services provided through or in connection with the service. By purchasing and or enrollment of any offerings the participant acknowledges and agrees to the following:
The participant agrees that the use of all, or part, of the service is entirely at the participant's own risk. Any actions or lack of actions, taken by the participant of such advice is done so solely by choice and responsibility of the participant and is neither the responsibility nor liability of event organizers/facilitators, their agents, employees, officers, volunteers, and/or contractors, and any person or organization associated with them and their activities (collectively known as “SHIELD US Co.” and “Blue Peak”).
The participant understands that any experience, service and/or information at the event is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and the participant will not use it in place of any form of therapy.
The participant recognizes that some group processes provided may require emotional, physical, and mental efforts, and exertion, on the participant's part, which may cause physical, mental or emotional stress. The participant further recognizes that the group processes on the event may require physical exertion, and experimentation on the participant’s part, including by not limited to, violent physical contact and wrestling with other participants, which may cause severe physical, mental, or emotional injury. The participant fully acknowledges and takes full responsibility for all risks involved.
The participant understands that it is his responsibility to consult with his primary health care provider prior to participating and should the participant choose not to consult his health care provider, the participant accepts full responsibility waiving all rights to liability or any claims against SHIELD US Co. & Blue Peach and any of its agents, administrators, or employees.
The participant, and/or legal representatives forever release, waive, discharge and covenant not to sue SHIELD US Co. and Blue Peak and its agents, servants or employees, for any injury, harm or death caused by either negligence or other acts or omissions of the participant, other participants and/or SHIELD US Co./Blue Peak, its agents, servants or employees.
The participant has read and understood this form and all its contents, and the participant voluntarily agrees to the terms and conditions stated above.
Thanks for applying to the 2023 RESET RETREAT. A retreat leader will reach out to you!!We hope to see you there!