WildHeart

  • Classes
  • Retreats
  • Artist Residencies
  • Calendar
  • About WildHeart
    • Vision
    • Who We Are
    • Directions
    • Accomodations
    • Contact Us
  • Cart
Menu
  • Classes
  • Retreats
  • Artist Residencies
  • Calendar
  • About WildHeart
    • Vision
    • Who We Are
    • Directions
    • Accomodations
    • Contact Us
  • Cart

WildHeart

  • Classes
  • Retreats
  • Artist Residencies
  • Calendar
  • About WildHeart
    • Vision
    • Who We Are
    • Directions
    • Accomodations
    • Contact Us
  • Cart
Menu
  • Classes
  • Retreats
  • Artist Residencies
  • Calendar
  • About WildHeart
    • Vision
    • Who We Are
    • Directions
    • Accomodations
    • Contact Us
  • Cart

WildHeart Residency Registration

Residency (Housing) Registration Form

"*" indicates required fields

This is registration for WildHeart Residencies (including Artist Residencies and other stays). If registering through this page, you should have already received an acceptance message from WildHeart for your residency. If you did not please first apply for an artist residency here or contact us for other inquiries. For more information about accommodations in general, please see the accommodations page here.
Primary Registrant (Your) Name*
Primary Registrant's Email*
Discounts for longer stays are as follows and are not reflected in the prices shown until the # of nights is inputted:
20% off for a week or more (7 nights)
20% off week price for a month or more
20% off month price for 3 months or more
$50 per night
Increase the quantity for the number of days you are staying.

One bed in a shared double room.

If you are wanting to share with another registrant, you should either pay for both registrants now using the "Double Bedroom (two people)" option above, or choose enter their name below and ensure that they register and pay separately and choose the same option and enter your name so we can match you in your double room.

Includes: linens, pillow and towels shared bathroom and kitchen

If registering for two individuals at once, please choose the Double for two option instead.

Or use this option if you are registering/paying separately or staying a different number of days as the person you're sharing a room with
One bed in a 6-8 person dorm room. Includes: linens, pillow and towels shared bathroom and kitchen $30/night Increase the quantity for the number of days you are staying.
Bring all your own equipment. Includes: outdoor shower, sink and composting toilet access to shared kitchen and bathroom facilities in the main house $30/person/night Increase the quantity for the number of days you are staying. Please submit a seperate form for each camping registrant if camping with multiple individuals.
Two beds for two individuals in a shared double room. If you are wanting to share with another registrant and pay separately choose the "Double Bedroom (sing bed in shared room)" option instead and ensure that they register and pay separately and choose the same option. Includes: linens, pillow and towels shared bathroom and kitchen $100 per night (for two individuals) Increase the quantity for the number of days you are staying. If you are staying a different number of days as the person you're sharing a room with use the "Double Bedroom (one bed in shared room)" option and register for each individual separately.
Single bedroom in a shared house. You cannot share a single room with another registrant. Couples or people who would like to share a room should choose a double room for each individual. Includes: linens, pillow and towels shared bathroom and kitchen $75 per night. Increase the quantity for the number of days you are staying.
This option is to add an extra individual to a pre-arranged private cabin. Only use this option if you are joining someone who has already reserved a private cabin. Enter that person or group's name and the number of days you are staying below.
A two bedroom private cabin with a kitchen. Includes: linens, pillow and towels $110/night + $30 per additional person. Select the correct number of individuals and increase the quantity for the number of days you are reserving the cabin. If you have some individuals staying for different amounts of time, they will need to register separately and select "Add an additional individual to pre-reserved private cabin", the number of days they are staying and include your name or your group's name when they register.
You are registering for multiple individuals*
This means you will be the primary contact for handling this registration and you will be paying for these individuals now. This form also requires the individuals are present to read and sign the liability release.
$0.00
It looks like you're staying more than a week! You get 20% off!
$0.00
It looks like you're staying more than a month! You get 35% off - 20% off the weekly price!
$0.00
It looks like you're staying more than a 3 months! You get 48% off - 20% off the monthly price!
If you have different people staying for different numbers of nights, please fill out the registration for those individuals separately.
Discounts for longer stays are not shown here! (see below if you are staying 7 days or more)
MM slash DD slash YYYY
MM slash DD slash YYYY
Are your dates and number of nights correct?*
Equity Discount Information
Contributions will be use to provide scholarships and/or offset housing and/or foods costs for bipoc people in residency or attending programs.
WildHeart offers discounts to people of black, indigenous and other non-white heritages because of the systemic inequity, generational oppression and disenfranchisement, theft of land, etc they and their ancestors experience(d).
If you or one of your registrants has this background, please feel free to use one of the following coupons on checkout:
    If all registrants are bipoc, you may use the following 100% off coupon: equitydiscount100
    If 3/4 of your registration price is for bipoc you may use the following $75% off coupon: equitydiscount75
    If half of your registration price is for bipoc you may use the following 50% off coupon: equitydiscount50
    If 1/3 of your registration price is for bipoc you may use the following $33% off coupon: equitydiscount33
    If 1/2 of your registration price is for bipoc you may use the following $25% off coupon: equitydiscount50
    Alternatively, you can use this $30 off coupon multiple times to estimate an appropriate discount for more unique situations: equitydiscount30off
    Second Individual's Name*
    Third Individual's Name*
    Fourth Individual's Name*
    Name of individual or group you're adding on to*
    If you see this field, you selected that you are adding on to a pre-registered multi-person cabin. Please enter the name of person who registered that cabin or your group's name so we can match them
    Have you arranged to share the room with someone registering separately?
    If you see this field, you selected that you are staying in a shared double room. If you have an individual you've pre-arranged to stay with or are part of a group, please enter the name of that person or your group's name so we can match you with them. If you are staying alone and are content to be matched with anyone, please leave it blank. If you want a private room, please choose a single room.

    Emergency Contacts

    Your Emergency Contact's Name*
    Name or # of registrant (2, 3, 4): Name of Emergency Contact: Relationship to Emergency Contact: Email: Phone Number: Please enter for all registrants.
    Are any of your registrants minors or people with legal guardians?*
    Please tell us which registrants are minors and their age or circumstances. Separate with semicolons for multiple individuals.
    Answer whichever applies to you.
    Release from Liability*
    Registered Guests, and all persons accompanying registered occupants, hereby accept responsibility for their personal property and safety and irrevocably release and save and hold harmless WildHeart Collective LLC and WildHeart Center LLC, its affiliates, associates, representatives, and rental property owners from any cost or liability whatsoever arising from loss, damage, personal injury, illness, death, weather-related circumstances, or any circumstance whether caused by the negligence of the Owner or any of the Released Parties or by any other reason, occurring during or affecting a Guest’s reservation or stay.
    Registrant #2 Release from Liability*
    Registered Guests, and all persons accompanying registered occupants, hereby accept responsibility for their personal property and safety and irrevocably release and save and hold harmless WildHeart Collective LLC and WildHeart Center LLC, its affiliates, associates, representatives, and rental property owners from any cost or liability whatsoever arising from loss, damage, personal injury, illness, death, weather-related circumstances, or any circumstance whether caused by the negligence of the Owner or any of the Released Parties or by any other reason, occurring during or affecting a Guest’s reservation or stay.
    Registrant #2 or their legal guardian: Please input initials or name as your digital signature.
    Registrant #3 Release from Liability*
    Registered Guests, and all persons accompanying registered occupants, hereby accept responsibility for their personal property and safety and irrevocably release and save and hold harmless WildHeart Collective LLC and WildHeart Center LLC, its affiliates, associates, representatives, and rental property owners from any cost or liability whatsoever arising from loss, damage, personal injury, illness, death, weather-related circumstances, or any circumstance whether caused by the negligence of the Owner or any of the Released Parties or by any other reason, occurring during or affecting a Guest’s reservation or stay.
    Registrant #3 or their legal guardian: Please input initials or name as your digital signature.
    Registrant #4 Release from Liability*
    Registered Guests, and all persons accompanying registered occupants, hereby accept responsibility for their personal property and safety and irrevocably release and save and hold harmless WildHeart Collective LLC and WildHeart Center LLC, its affiliates, associates, representatives, and rental property owners from any cost or liability whatsoever arising from loss, damage, personal injury, illness, death, weather-related circumstances, or any circumstance whether caused by the negligence of the Owner or any of the Released Parties or by any other reason, occurring during or affecting a Guest’s reservation or stay.
    Registrant #4 or their legal guardian: Please input initials or name as your digital signature.
    This field is for validation purposes and should be left unchanged.

    WildHeart
    CENTER FOR PERFORMANCE AND EMBODIMENT PRACTICE

    a land-based culture hub that incubates new performances, cultivates deep community and hosts transformational events.

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    Contact Information

    • Phone: +1 (845) 379-1851
    • e-mail: contact@wildheartcenter.art
    • 183 East Road, Wallkill NY 05156
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    Find out about WildHeart happenings!