Living Level One April 17-23, 2023- Registration Form
Welcome to Living Level One!  Once we receive your form and payment, you will receive a confirmation email, with training details to follow.

** YOU MUST HAVE COMPLETED AN  ISTA LEVEL 1 TRAINING BEFORE YOU ATTEND LIVING LEVEL ONE.

This is an advanced training and we want to make sure you're prepared.  
If we have any concerns based on your registration or intake form responses, we may reach out to you for further conversation.

Feel free to reach out if you have any questions or concerns: ista@creatingcommunity.us
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Email *
Full Legal Name *
Name you regularly use *
CONTACT INFORMATION
Pronouns
Gender Identity
Phone # / Whatsapp # *
Please include both numbers if they are different.
Name on Facebook
Link to your Facebook Profile page
ADDITIONAL INFORMATION
Birth Date *
MM
/
DD
/
YYYY
Country where you were born *
Where do you currently live? *
City, State/Province, Country
Emergency Contact Name and relationship to you *
Emergency Contact Number *
ISTA EXPERIENCE
Which Level 1 or Living Level 1 trainings have you participated in? *
Please let us know the year, location and lead facilitator for EACH Level 1 or Living Level 1 training where you have been a participant.
Have you taken Level 2? *
Have you taken the Practitioner Training? *
Have you taken Level 3? *
If you have assisted any trainings, please list the level, year, location, and lead facilitator for each.
How comfortable are you with the following tools and practices: *
Very comfortable/ A regular part of my life.
Somewhat comfortable/ An occasional part of my life.
Comfortable but not a regular part of my life.
A bit shaky/ I could use more work on this.
I never really got this one down.
Emotional Release Tools
Honoring Boundaries
Wheel of Consent (Giving, Receiving, Taking, Allowing)
Conscious Communication
Safe Sex Talk
Shadow-stalking (with sweetness, cunning, ruthlessness, patience)
FOOD AND ACCOMMODATIONS
Food Restrictions *
Meals will be delicious, healthy, vegetarian food with some meat options as well as vegan/gluten-free options. If you have special food needs or restrictions, please let us know below.  
Required
ACCOMMODATIONS OPTIONS
Accommodations are available on a first come/first served basis.  Please look at the following options, and then let us know your preference below:

DORM: Dorm spaces with 4-5 bunk beds per room are available in the building where we have our meals.  

CABINS: Cabins have a mixture of bedrooms and all have bathrooms.  Some have two bedrooms, some have four – some have double beds and/or twins while some have queen size bunk beds.

WOOD CABINS: These are single-room cabins intended for a single person or a couple who are upgrading to a private space. Most of these have full/queen beds and two of them have twins that can be joined together. All have power but no bathroom.  (additional $400 USD)

SUMMER CABINS: A single screened in room-like camping option without having to put up a tent!  They have a futon and bedding but no power or bathroom. There's no discount offered for summer cabins.

TENT CAMPING: Camping is available near the cabins with bathrooms available nearby.  Be sure to bring all the WARM bedding, pillows, and other gear you need (the temperature may drop into the 40's overnight). There's no discount offered for camping.

RV'S/ TRAILERS/ CAR: There's no discount offered for bringing a RV/trailer/car camping. NOTE: The cost of connecting to the power grid is $25/day.  

LARGER BEDS: If you are a single human and would like to upgrade to a Queen or King sized bed for an additional $200, please let us know below. Couples can upgrade to a larger bed in a shared space free of charge. These larger beds are first come, first served.

PRIVATE ROOMS: Private spaces will be available on a first come, first served basis for an additional $400 USD. You will start out on the Private Housing Wait List until we know how many spaces will be available.  We will let you know closer to the training if you have a private space and the upgrade fee will be added to your balance.

Here's a diagram of the housing options:  
https://drive.google.com/file/d/1AIhu0TlbWS7v3I0J3u0_ybX6OkJAqUFR/view
ACCOMMODATIONS SELECTION
Please choose as many 1st, 2nd, 3rd choices as you like.  We will do our best to place you in your higher priority choices as space allows.
1st Choice
2nd Choice
3rd Choice
Not Interested
No preference- place me anywhere
Camping (your own tent and bedding)
RV/Trailer/Car-camping
Dorm
Cabins
Wood Cabins (private housing upgrade- $400)
Summer Tent (glamping- futon and bedding provided)
Clear selection
Queen/King Bed Upgrade or Shared bed request
Please let us know if you are interested in the Queen/King Bed upgrade or sharing a larger bed in a shared space with a partner for no additional charge.
Clear selection
Private Room upgrade
Please let us know if you are interested in a private room upgrade.  No payment is required to be added to the wait list.
Clear selection
Shared Bed Requests
If you chose one of the upgrade options above and intend to share a bed with a partner, please tell us their name.
Roommate requests
If there is someone going to the training who you would like to room with, please let us know their name and we will do our best to accommodate you.
Additional Accommodations requests/ comments.
Please include any special needs.  Also please let us know if you snore loudly.
TUITION
You can pay your tuition in full at this time or you can pay a deposit of $500 to hold your spot and tuition tier in the training. 
NOTE:   YOUR REGISTRATION WILL NOT BE COMPLETE UNTIL WE RECEIVE YOUR PAYMENT.

Your balance will be due 30 days before the training.  

Please use THIS LINK for payment options.

Please let us know how much you intend to pay today *
If your selected tuition tier is full you will be added to the next available tier.
Cancellation Policy *
Required
WAIVERS AND AGREEMENTS
Your agreement to the terms of these waiver forms and the Participant Consent Agreement are required for your participation in the Living Level 1 experience.  Please read them carefully.  Reach out to Debby right away if you have any questions or concerns.  
Email: ista@creatingcommunity.us, Text/Whatsapp: 716-479-1490
Participant Consent Agreement
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ISTA is a mystery school honoring the body, soul, and spirit integration.

ISTA is a celebration of life and a creation of spaces that invite life-force to vibrate and move freely.

ISTA’s initiatory program is a week-long experience. It is an individual process supported by a group field designed to awaken strong emotions and work with personal and sexual expression.

We work with group fields of human beings learning tools to navigate daily life. We offer explorations within a ritual setting and initiation experiences designed to support the practice of these tools, awakening dormant emotions, releasing old patterns of conditioning, and supporting conscious sexual expression.

We bring awareness and nourish aspects that emphasize self-responsibility as an essential requirement to navigate sexual, shamanic, and spiritual spaces.

As an ever-evolving organism, our growth has its challenges and demands. We continue reviewing and resetting as we move deeper into listening to inner guidance and how our interactions transform the space around us.

Our field acknowledges, continues to evolve, and includes some of the gifts of trauma-informed models. However, ISTA trainings are NOT a replacement for physical-emotional-mental therapy and are NOT focused on treating pathology.

ISTA trainings are also not presuming to treat complex trauma or personality disorders. If you suffer from severe trauma, mental illness, or are taking medications, we recommend that you consult your therapist/ psychiatrist to check if participating is advisable.

The ISTA field activates the life force and is, at times, emotionally intense. We recommend that individuals seek one-on-one sessions and get approval from their therapist before participating in this group process. Primarily if there are known deep-seated traumas or an inability to down-regulate oneself.

As a mystery school, ISTA approaches trauma from the shamanic perspective of connecting with the body and soul. Guided by a growth-centered view, ISTA supports consciousness-raising for those exposed to trauma to be agents in the creation of their own well-being rather than solely victims of traumatic events, thus, overcoming images of themselves as being powerless and being able to take charge of their lives.

Please consider if your mental health is ready and capable of undertaking such powerful initiations and if you can take responsibility for your mental stability.

PLEASE CONSIDER IF JOINING ISTA IS RIGHT FOR YOU.

In saying all of the above, we, the facilitators, acknowledge and recognize our responsibility to offer participants nondiscriminatory care, a consent focused space, and appropriate support concerning the process as you navigate the ISTA journey.

The ISTA facilitation team

Release of Liability - Creating Conscious Community, LLC
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Creating Conscious Community, LLC - Acknowledgement and Agreement for Assumption of Risk, Waiver, Release, and Consent for Participation in Creating Conscious Community, LLC events

In consideration of the benefits of participation in Creating Conscious Community, LLC events, and Creating Conscious Community, LLC-affiliated events, I enter into this agreement and hereby acknowledge and agree as follows:

I. Definitions: ”Activities" shall mean all programs, classes, training and instructional sessions, events, and exercises offered by Creating Conscious Community, LLC, Deborah Sugarman or any other entity, organization, or individual in conjunction with Creating Conscious Community, LLC, Deborah Sugarman. “The Released Parties” shall mean Creating Conscious Community, LLC, Deborah Sugarman or any other entity, organization, or individual in conjunction with Creating Conscious Community, LLC, Deborah Sugarman. "Use of the Facilities" shall mean the presence on or admission to the premises or site where the Activities occur (whether indoors or outdoors) for participation, observation, instructional or any other purpose, use of the equipment, or any other property supplied by Creating Conscious Community, LLC, Deborah Sugarman or any other individual acting in conjunction with Creating Conscious Community, LLC.

II. Assumption of Risk: I acknowledge and understand that my participation in the Activities or Use of the Facilities will require varying degrees of physical exercise, contact with other persons, and exposure to various conditions of the Facilities.   I understand that such exercise, contact and exposure inherently carry the risk of serious injury and damage to my person or property, including without limitation, loss, death, or disability. I am aware that the usual risks, hazards, and dangers of injury, death, or disability, and loss increase when the activity takes place outdoors or when I or others consume intoxicating substances. I acknowledge that my participation in the Activities is strictly voluntary, and I acknowledge that I am in good health and physical condition. In spite of the risks and dangers, I voluntarily assume any and all risks, known or unknown, anticipated or not, including but not limited to risks as listed above, related to participation in the Activities and Use of the Facilities.   As such, I understand and agree that The Released Parties shall not be liable for any injury, loss or claim, including without limitation, personal, bodily, or mental injury, death, disability, economic loss, property damage, or any other damage suffered by me in connection with my participation in the Activities or Use of the Facilities, whether resulting from the acts, negligent or otherwise, of The Released Parties or anyone else's participation in the Activities or Use of the Facilities.

III. Waiver & Release: I  hereby agree, on behalf of myself and my next of kin, heirs and representatives, to release and forever discharge, and promise not to sue, The Released Parties from any and all claims, actions, damages, liability, costs, expenses, and attorney’s fees which are related to, arise out of, or are in any way connected to my participation in the Activities or Use of the Facilities, whether or not the same are caused by the acts or omissions, negligence or otherwise, of any Released Parties or anyone else participating in the Activities or Use of the Facilities. By this agreement, it is my intention to surrender and waive any rights to sue or exercise any legal right to seek damages from Creating Conscious Community, LLC, Deborah Sugarman or any other entity, organization, or individual in conjunction with Creating Conscious Community, LLC, and/or Deborah Sugarman.  

IV.  Pay Costs for My Own Misconduct: I agree to defend, indemnify, hold harmless and protect the Released Parties from and against any and all claims by another person against a Released Party, including payment of attorney’s fees, which are the result of my own alleged negligence or affirmative misconduct during or arising out of my participation in this Activity, including travel to and from or before, during or after the Activity. If any Released Party incurs any of these types of expenses, I agree to reimburse the said party on demand.

V.  Medical Condition: Persons with any known or suspected medical and/or mental health conditions should consult first with their doctor and/or therapist before engaging in the Activities, and before using any Facilities and should not engage in the Activities or use the Facilities if subject to any medical and/or mental health condition that might impact their ability to safely do so.  

VI.  Acknowledgements: I acknowledge that I and others may be under the influence and therefore especially susceptible to causing or contributing to incidents, or incurring incidents or injuries of various kind. I acknowledge that if any pools or water features are present there shall be NO JUMPING OR DIVING INTO POOLS ALLOWED WHATSOEVER and no running, rough play or horseplay of any kind is appropriate at any time.  I understand the Facilities may have various potential hazards, including stairs, uneven walking surfaces, dimly lit or non-lighted areas, steep hillside and decks and balconies and associated risks. I acknowledge that I DO NOT REQUEST OR NEED ANY FURTHER WARNINGS OR CAUTIONS about known or unknown, obvious or hidden hazards or dangers that may be present at the Location and that I will take responsibility for my own safety, and WILLINGLY ASSUME ALL RISKS related to the Activity or my presence at the Location.

VII.  Miscellaneous: 

This Agreement shall be effective indefinitely and shall apply to all contemporaneous agents, representatives, officers, directors, principals, successors, affiliates. subsidiaries, employees, and all other persons acting on their behalf of any Released Parties, including but not limited to Creating Conscious Community, LLC, Deborah Sugarman, or any other entity, organization, or individual assisting in the Activities or Use of the Facilities, which persons shall be express third-party beneficiaries of this Agreement.

Covid-19 Release of Liability
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COVID-19 - Creating Conscious Community, LLC Assumption of Risk and Waiver of Liability

I. Definitions: ”Activities" shall mean all programs, classes, training and instructional sessions, events, and exercises offered by Creating Conscious Community, LLC, Deborah Sugarman or any other entity, organization, or individual in conjunction with Creating Conscious Community, LLC, Deborah Sugarman. “The Released Parties” shall mean Creating Conscious Community, LLC, Deborah Sugarman or any other entity, organization, or individual in conjunction with Creating Conscious Community, LLC, Deborah Sugarman.

II. COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. In keeping with Federal, State and Local guidelines, The Released Parties cannot guarantee that you will not be exposed to COVID-19 during your use of the Activities. Therefore, without limiting the foregoing limitation of liability, the following terms and conditions are effective for the Activities:

III. Assumption of Risk: I acknowledge the contagious nature of COVID-19 and that, despite The Release Parties effort to mitigate such dangers, I may be exposed to or infected by COVID-19 during my participation in the Activities, and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others. I assume all of the foregoing risks and are solely responsible for any resulting injury (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, related to COVID-19, that I may experience or incur in connection with the Activities (Claims).

IV. Waiver & Release: I release, covenant not to sue, discharge, and hold harmless the Company, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. This release includes any Claims based on the actions, omissions, or negligence of The Released Parties, its employees, agents, representatives, vendors, and independent contractors whether a COVID-19 infection occurs before, during, or after participation in the Activities.

VI.  Miscellaneous: 

(a) This Agreement shall be effective indefinitely and shall apply to all contemporaneous agents, representatives, officers, directors, principals, successors, affiliates. subsidiaries, employees, and all other persons acting on their behalf of any Released Parties, including but not limited to The Released Parties, or any other entity, organization, or individual assisting in the Activities or Use of the Facilities, which persons shall be express third-party beneficiaries of this Agreement.

Is there anything else you'd like to share?
Thank you for filling out this registration form.  We are glad you can join us!  After you click "submit", you will see the link to choose a payment method and make your payment.  We need to receive your payment before your registration can be processed.  Please contact Debby at ista@creatingcommunity.us or 716-479-1490 with any questions.
A copy of your responses will be emailed to the address you provided.
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