3-Day Cancer Retreat

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1 Welcome

2 Price

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Creekside or Gatehouse Room with attached private bath: $150 per night single or double occupancy

These first-floor rooms have two twin beds and an attached bath. Creekside was built in 2005 to Built-Green™ standards. Gatehouse...

Guests in Room:
In rooms

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$475

$475

$475
Creekside or Gatehouse Room with attached private bath: $150 per night single or double occupancy
These first-floor rooms have two twin beds and an attached bath. Creekside was built in 2005 to Built-Green™ standards. Gatehouse was built in 2010 and features sustainable bamboo flooring and non-toxic finishes. There are five rooms available of this type. Your room may not be the exact one pictured, all rooms are similar.

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Creekside Room with private half bath: $150 per night single or double occupancy

The second-floor room has one queen and one twin bed, an attached half bath, and a shared full bath in...

Guests in Room:
In rooms

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$475

$475

$475
Creekside Room with private half bath: $150 per night single or double occupancy
The second-floor room has one queen and one twin bed, an attached half bath, and a shared full bath in the hallway. Creekside was built in 2005 to Built-Green™ standards. There is only one room of this type.

Close
×
More Photos
Sold Out

Creekside Room with shared bath: $130 per night

These first-floor rooms have one twin bed and a shared ADA bath. Creekside was built in 2005 to Built-Green™ standards....

Guests in Room:
In rooms

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$435

$435

$435
Creekside Room with shared bath: $130 per night
These first-floor rooms have one twin bed and a shared ADA bath. Creekside was built in 2005 to Built-Green™ standards. There are two rooms of this type. Your room may not be the exact one pictured, all rooms are similar.

Close
×
More Photos
Sold Out

Creekside Room with shared bath: $140 per night single or double occupancy

This second-floor room has two twin beds and a shared bath. Creekside was built in 2005 to Built-Green™ standards. There...

Guests in Room:
In rooms

More Details +

$455

$455

$455
Creekside Room with shared bath: $140 per night single or double occupancy
This second-floor room has two twin beds and a shared bath. Creekside was built in 2005 to Built-Green™ standards. There is only one room of this type.

Close
×
More Photos
Sold Out

Gatehouse Room with private bath: $150 per night

This room has two steps leading to the door, one queen bed, and an attached bath. Gatehouse was built in...

Guests in Room:
In rooms

More Details +

$475

$475

$475
Gatehouse Room with private bath: $150 per night
This room has two steps leading to the door, one queen bed, and an attached bath. Gatehouse was built in 2010 and features sustainable bamboo flooring and non-toxic finishes. There is only one room of this type.

Close
×
More Photos
Sold Out

Lodge Room with shared bath: $75 per night

These second-floor rooms have one queen bed and a shared bath. The Lodge was built in the 1920s. There are...

Guests in Room:
In rooms

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$325

$325

$325
Lodge Room with shared bath: $75 per night
These second-floor rooms have one queen bed and a shared bath. The Lodge was built in the 1920s. There are two rooms of this type. Your room may not be the exact one pictured, all rooms are similar.

Close
×
More Photos
Sold Out

Lodge Room with shared bath: $75 per night

These second-floor rooms have two twin beds and a shared bath. The Lodge was built in the 1920s. There are...

Guests in Room:
In rooms

More Details +

$325

$325

$325
Lodge Room with shared bath: $75 per night
These second-floor rooms have two twin beds and a shared bath. The Lodge was built in the 1920s. There are two rooms of this type. Your room may not be the exact one pictured, all rooms are similar.

Close
×
More Photos
Sold Out

Lodge Room with shared bath: $75 per night

This first-floor room has one queen bed and a shared bath. The Lodge was built in the 1920s. This is...

Guests in Room:
In rooms

More Details +

$325

$325

$325
Lodge Room with shared bath: $75 per night
This first-floor room has one queen bed and a shared bath. The Lodge was built in the 1920s. This is the only room of this type.

Close
×
More Photos
Sold Out

Lodge Room with shared bath: $75 per night

This first-floor room has one twin bed and a shared bath. This is the only room of this type.

Guests in Room:
In rooms

More Details +

$325

$325

$325
Lodge Room with shared bath: $75 per night
This first-floor room has one twin bed and a shared bath. This is the only room of this type.

Close
×

3 People in your group

4 Participant Info

Preferred name for your name tag (first name only), if different than your name provided above?
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Phone *
Please provide your personal pronouns:	He/Him, She/Her, They/Them, etc.
Your Age in Years
How did you hear about us?
Would you like to receive our newsletter? *	Yes, sign me up No, thank you
Please let us know if you are applying as	Participant with a cancer diagnosis Companion to the participant
Primary Cancer Diagnosis:
Other Primary Cancer Diagnosis:	Enter diagnosis here
Original Cancer Diagnosis Date:
Do you have any metastases (if yes, please describe the locations and extent)?
Dates of recurrence, if any:
Date treatment completed (if applicable):
What is your relationship to the cancer participant
Generally, how are you feeling physically? *
How do you hope to benefit from attending a cancer program, workshop, or retreat? *
What are your concerns or fears about the program (if any)? *
Tell us a little bit about yourself to help us get to know you
Are you able to complete all activities of daily living on your own or with assistance from your companion? *	Yes No
Some retreat locations require walking on a sloped surface and climbing stairs, are you physically able to meet this requirement? *	Yes No
Do you have any physical, language/speech, hearing, visual, or sensory concerns that could affect your experience in the retreat that you would like us to be aware of? *	Yes No
Please provide any reasonable accommodations you are requesting. *
Is there anything we should know to help ensure your comfort or that you would like us to know about you?
Sacred Waters Center does their best to meet special diet needs with substitute or alternate food options. They are not able to accommodate specific diet plans (e.g.,Atkins, South Beach, Paleo).Your dietary needs & restrictions: (Please check all that apply) *	Vegetarian Vegan Dairy Free Gluten Free None Needed
Medically Diagnosed Dietary Restrictions	Sacred Waters Center does not accommodate food preferences, only medically diagnosed allergies.
Cancelation Policy *	I accept the cancelation policy.Cancellations 60 days or more before the event can receive a full refund – less 10% for payment processing fees and program administration. Cancellations 59-16 days before the event can receive a 50% refund. Cancellations less than 15 days before the event are non-refundable. The program registration can be transferred to another person at any time.
Informed Consent & Understandings *	I understand that Cancer Lifeline's Cancer Program is an adjunctive program of stress reduction, health education, and group support that does not replace appropriate medical treatment or the care of my oncologist or physician.
Informed Consent & Understandings: *	I understand that the program addresses the mental, emotional, and spiritual aspects of wellness from a non-sectarian perspective.
Informed Consent & Understandings: *	I understand that Cancer Lifeline reserves the right to request a participant withdraw for reasons of health, safety or the best interest of the group.
Informed Consent & Understandings: *	I understand Cancer Retreats start at 12:00 pm on the first day and completes at 3:15 pm on the third day and I will attend the entire retreat.
Travel Liability Clause *	I understand that Harmony Hill is not liable for any travel expenses incurred in planning to attend any activity offered by Harmony Hill should it be canceled for any reason.
Harmony Retreats Liability Waiver *	By checking this box you (the registrant) assume all responsibility for and all risk of illness, damage or injury that may occur as a participant in a Wellness/Cancer/Health Professional Program under the auspices of Harmony Retreats, a program of Cancer Lifeline. The registrant specifically assumes all risk for injury arising while attending classes or sessions, participating in movement exercises, using equipment, while walking the grounds or inhabiting the facilities. In consideration of being accepted as a participant in Harmony Retreats programs, the registrant, on behalf of her/himself and her/his heirs or assigns, hereby releases and discharges Harmony Retreats and Cancer Lifeline, its officers, directors, employees, agents and volunteers, from all claims, demands, rights of causes of action, present or future, whether known or unknown, anticipated or unanticipated, and resulting from or arising out of an incident pertaining to the undersigned’s participation in the programs/classes. By checking this box you attest that you have read and understand this assumption of risk agreement and release and willingly and without duress, sign it on behalf of yourself and agree to be bound by it.

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*

1 Welcome

2 Price

Select an option*

Creekside or Gatehouse Room with attached private bath: $150 per night single or double occupancy

Creekside Room with private half bath: $150 per night single or double occupancy

Creekside Room with shared bath: $130 per night

Creekside Room with shared bath: $140 per night single or double occupancy

Gatehouse Room with private bath: $150 per night

Lodge Room with shared bath: $75 per night

Lodge Room with shared bath: $75 per night

Lodge Room with shared bath: $75 per night

Lodge Room with shared bath: $75 per night

3 People in your group

4 Participant Info

5 Donate

6 Payment