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Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

DOUBLE OCCUPANCY - 2 QUEENS ROOM - All Inclusive Retreat + Hotel Accommodations —

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INCOMPLETE

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		<field type="paragraph" subtype="p" label="relevant medical conditions. I understand that Anique Herbst LLC does not provide medical advice, "/>&#13;
		<field type="paragraph" subtype="p" label="diagnosis, or treatment and that all activities are for educational and wellness purposes only."/>&#13;
		<field type="text" name="release-of-liability-" value="RELEASE OF LIABILITY" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I release and discharge Sanctum &amp;amp; Soil and Anique Herbst LLC, its facilitators, affiliates, staff, and "/>&#13;
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Your Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Roommate Information (if applicable)"/>&#13;
		<field type="textarea" label="My roommate&#39;s name" name="my-roommates-name" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Medical Condition/Food Allergy Information (if applicable)"/>&#13;
		<field type="textarea" label="Please let us know any information that we should be aware of." name="please-let-us-know-any-information-that-we-should-be-aware-of" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Media Usage Release"/>&#13;
		<field type="checkbox-group" required="true" label="Media Usage Permissions" name="media-usage-permissions">&#13;
			<option label="I grant permission for photos or video footage taken during the retreat to be used for promotional purposes by Sanctum &amp; Soil, Anique Herbst LLC, and Audere Visual" value="">I grant permission for photos or video footage taken during the retreat to be used for promotional purposes by Sanctum &amp; Soil, Anique Herbst LLC, and Audere Visual</option>&#13;
			<option label="I do not grant permission for media usage" value="">I do not grant permission for media usage</option>&#13;
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		<field type="checkbox-group" label="Acceptance of Liability Waiver" name="acceptance-of-liability-waiver">&#13;
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		</field>&#13;
		<field type="paragraph" subtype="p" label="By signing this waiver, I acknowledge that I am voluntarily participating in the wellness retreat "/>&#13;
		<field type="paragraph" subtype="p" label="hosted by Sanctum &amp;amp; Soil, a program operated by Anique Herbst LLC. I understand that the retreat "/>&#13;
		<field type="paragraph" subtype="p" label="may include, but is not limited to: breathwork, yoga, meditation, movement practices, nature "/>&#13;
		<field type="paragraph" subtype="p" label="immersions, nutritional activities, and other wellness-related experiences. "/>&#13;
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		<field type="paragraph" subtype="p" label="I acknowledge that participation in these activities carries inherent risks, including physical "/>&#13;
		<field type="paragraph" subtype="p" label="exertion, emotional release, interactions with nature, and personal transformation. I accept full "/>&#13;
		<field type="paragraph" subtype="p" label="responsibility for any risks, injuries, or damages—known or unknown—that I may incur as a result of "/>&#13;
		<field type="paragraph" subtype="p" label="participating. "/>&#13;
		<field type="text" name="medical-disclosure-consent-" value="MEDICAL DISCLOSURE AND CONSENT" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I affirm that I am physically and mentally capable of participating. I will inform the facilitator of any "/>&#13;
		<field type="paragraph" subtype="p" label="relevant medical conditions. I understand that Anique Herbst LLC does not provide medical advice, "/>&#13;
		<field type="paragraph" subtype="p" label="diagnosis, or treatment and that all activities are for educational and wellness purposes only."/>&#13;
		<field type="text" name="release-of-liability-" value="RELEASE OF LIABILITY" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I release and discharge Sanctum &amp;amp; Soil and Anique Herbst LLC, its facilitators, affiliates, staff, and "/>&#13;
		<field type="paragraph" subtype="p" label="property owners from any claims or causes of action arising out of my participation. This includes "/>&#13;
		<field type="paragraph" subtype="p" label="liability for injuries, damages, or losses sustained. "/>&#13;
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  </body>
</html>

Continue to traveler info

Credit Card Authorization

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Final payment of $1,975.00 is due on June 26, 2026

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Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

DOUBLE OCCUPANCY - 2 QUEENS ROOM - All Inclusive Retreat + Hotel Accommodations —

—

Total —

Due now —

Continue to traveler info

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Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

DOUBLE OCCUPANCY - 2 QUEENS ROOM - All Inclusive Retreat + Hotel Accommodations —

—

Total —

Due now —

Continue to traveler info

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit

Final payment of $1,975.00 is due on June 26, 2026

$0.00

Authorize full amount

$1,975.00

Sanctum & Soil Wellness Retreat - Aug 2026

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $1,975.00 is due on June 26, 2026

$0.00

Authorize full amount

$1,975.00

Sanctum & Soil Wellness Retreat - Aug 2026

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Sanctum & Soil Wellness Retreat - Aug 2026

Aug 2, 2026 to Aug 5, 2026

Buena Vista, CO

Authorize deposit

Final payment of $1,975.00 is due on June 26, 2026