Retreat registration

Women’s Wellness Retreat

  • Date: Saturday, March 16, 9:00am - 4:30pm
  • Cost: $125 - $150 sliding scale per person; advance registration required
  • Location: Vergennes Movement, 179 Main St, 2nd Floor, Vergennes
  • Facilitator: Sarah L. Frederiksen, MA, CAHC, CYT
If you have not already, please reserve your spot with the Venmo or Stripe links at the event webpage: https://elevateyouwell.com/blog.

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Your name *
Your email address *
How did you hear about this event? *
Do you have any food restrictions or allergies? Please describe. 

We will do our best to avoid cross contamination where able, and will communicate with you in advance to ensure the best approach for your participation in the meal.
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Do you have any questions or concerns about your participation in this event?
Informed Consent: 
The goal of Holistic Health Counseling and related events, including the Women's Wellness Retreat, is to help you achieve your optimal state of health by increasing that which supports your personal wellbeing and reducing causes of disease symptoms. 

During this event, the Women's Wellness Retreat, I, Sarah L. Frederiksen, the Counselor, will use, discuss, demonstrate, and recommend wellness strategies from Ayurveda, Yoga, Child & Family Development, and related social-emotional health approaches. I may ask whether you want to receive hands-on assists or support from me during Yoga or Ayurveda segments of this event. I may observe your physical appearance or ask you questions about your life experiences, including daily routines and habits, food intake, and bodily wastes, among other topics. You always have the right to decline any of the above. And your choice to accept or decline any of the above does not impact your participation.  

Addressing or sharing about the above topics may be uncomfortable for some people. If you experience feelings of discomfort that you cannot manage, I encourage you to seek the guidance of a mental health professional. If you are suffering from diagnosed disease(s) or symptoms that have not been evaluated by a modern medical doctor or other health care professional, I encourage you to consult with one.

As the Counselor, I make significant efforts to create a safe, welcoming, and inclusive event environment and experience for all. However, it is ultimately your responsibility, as the participant, to ensure you are capable of participating in the Women's Wellness Retreat. Due to the potential risk of engaging in any non-licensed therapeutic activities, you are encouraged to consult with a health care professional before participating in the Retreat, and/or use your own judgement regarding the limits of your personal capacity.

My credentials include a Master's degree in Child & Family Development, national certification as an Ayurveda Health Counselor (level 1), and national certification as a Yoga Teacher. I am in-training to become a nationally certified Ayurveda Health Practitioner (level 2). I also have extensive training and experience in the above areas and other related therapeutic modalities.  

By checking "yes, I agree" below, you indicate your understanding that I, Sarah L. Frederiksen, Holistic Health Counselor, am not a licensed health care professional or doctor of any kind, and that you will not receive medical care, diagnosis, or treatment from me within the scope of the modern medical system.
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Waiver of Liability:
By checking the "yes, I agree" option below, you hereby agree to irrevocably release and waive all claims and liability that you have now or may have hereafter against Sarah L. Frederiksen (the Counselor) of Elevate You Well (the Business), their owners, their landlords, their renters, their teachers, their employees, their independent contractors and agents, for all claims related to your participation in the Women's Wellness Retreat. You understand the Counselor and the Business are in no way responsible for your safety or the safekeeping of your personal belongings while you attend the workshop. You agree to indemnify, reimburse, and hold the Counselor and Business harmless for any costs, expenses, or damages. You understand this release and waiver is in effect forever and that you do not need to sign a new waiver each time you receive services from the Counselor or the Retreat.
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