Confirming Your Stay

We’re excited to Welcome you to WildHeart. This is the last step in the process, so we have the basic info we need, and you can submit your payment!

"*" indicates required fields

Name

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

Name*

First Last Pronouns

Email*

Enter Email Confirm Email

Phone*

How did you hear about us?

What brings you here?

e.g. a particular program or event? visiting a friend? (If so, who?)

Housing

Number of Guests:*

Additional Guest Names*

Check-in Date*

Check-out Date*

Number of Nights

Housing Payment Sliding Scale (per day/guest)*

Please enter a number from 0 to 125.

Please enter the per-day rate you would like to pay. By offering a sliding scale of $50-$125 per person per night, we hope to make this offering financially accessible. Paying at the higher end of the sliding scale MAKES IT POSSIBLE for us to offer a sliding scale. Please pay at the highest level that you are able. *Camping rate is $30 per person per night. If you are camping, you are responsible to bring everything you need for sleeping – tent, rain protection, bedding, sleep pad, pillow, sheets, blankets, etc.

Housing Cost

This is calculated from the number of nights, times the daily sliding scale rate chosen, times the number of guests.

Food

Join the Wildheart communal food system while you're here?

Will you be joining the WildHeart communal food system while you're here? (ie buying into shared groceries)

Yes please

No thanks

I'm not sure yet.

Payment Amount Towards Food:*

This amount is calculated as $20 per day per guest for food.

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.

Other Details

How do you plan to travel to WildHeart?*

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?

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

Emergency Contact:

Emergency Contact's Name*

First Last

their email*

and phone number*

...relationship to you:*

Total for Your Stay

Price: $0.00

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Total

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

Confirming Your Stay

Housing

Food

Other Details

Emergency Contact:

WildHeart:
Center for Performance and Embodiment Practice

Get Updates And Stay Connected

Contact Information

Confirming Your Stay

Housing

Food

Other Details

Emergency Contact:

WildHeart: Center for Performance and Embodiment Practice

Get Updates And Stay Connected

Contact Information

WildHeart:
Center for Performance and Embodiment Practice