Shamanic Winter Retreat Application Form Name * First Name Last Name Email * Phone (###) ### #### How do you prefer to be in contact? * Phone Email Skype What are your intentions for your retreat? * Will you be requiring our healing services? * What specifically prompted or inspired you to make the decision to do this for yourself, to invest in your self care? * How do you see yourself spending your time here, what do you dream or imagine to be your ideal day-to-day flow and experience? * Would you like to include a schedule of yoga, dance and or meditation? * Are you fit to shovel snow around the cottage when needed? * Are you comfortable and capable of maintaining a wood burning stove as your heat source for the cottage during your retreat? * Are you willing to follow and honour our house and temple grounds rules during your stay? Please read and accept below. * Mystic Mountain Temple is situated on sacred grounds between 2 creeks in a pristine natural setting. When you enter the grounds you are in a sacred space. Please be calm, quiet, peaceful and respectful of the hosts, practitioners, other guests and members, and take a moment to be aware of the following general protocols that apply to the temple grounds. Absolutely NO Smoking, Drinking, Plant Medicines, Drugs INCLUDING Vape and Cannabis on the premises, No parties, glass bottles, loud music/yelling in order to respect others while they are in healing sessions, prayer or meditation. No Littering. Do not leave your food or garbage outside so as not to attract bears. Maximum 1 vehicle to park on premises in designated area. No pets allowed to protect the grounds, wild life, and resident animals. Please be kind to our animals and note that they are NOT ALLOWED INSIDE guest accommodations. Wifi use is limited, please plan accordingly. It feels so good to Live, Be, Rest and Rejuvenate in a fresh clean space. Please keep the cottage in a state that supports peace and clarity. Before you leave wash your dishes, wipe the counters and stove top. Leave things the way that you found them since WE DO NOT CHARGE A CLEANING FEE. Yes I agree to follow and honour the house and temple grounds during my stay. Thank you!
