May 3-6, 2012
Our Fifth
Fabulous Year!
CONNECTING THE PIECES
AN SJW RETREAT
CONNECTING THE PIECES
AN SJW RETREAT
Submissive Journey Weekend
S
May 3-6, 2012
J
W
Our Fifth
Fabulous Year!
Registration
Registration
REGISTRATION FEE INCLUDES

  • Limited attendance of 40.
  • A spectacular three story lodge nestled in the woods on the side of a mountain.
  • 12 bedrooms and 12+ bathrooms with shared room/bed lodging.
  • Linens, pillows and towels included.
  • Outdoor hot tubs on covered decks
  • Game room with pool table, arcade video games, air hockey and more
  • Dining area that will seat the entire group at one time
  • Gourmet chef inspired meals
  • Three dinners, three breakfasts, two lunches, healthy and not-so-healthy snacks, late night desserts.
  • Educational workshops focusing on service, relationships, self-improvement and spirituality
  • Inspiring group discussion sessions
  • Resource book of handouts and notes from all sessions plus more information for future learning
  • A swag bag of goodies, gifts and a special commemorative item.
  • Fun and more fun
  • So much more
           *Note: The lodge is not wheelchair accessible. The lodge is three-story with stairs to access all levels
             Workshops will be on all three levels.

REGISTRATION FEE

  • Regular Rate (open to all until March 1)
      $295 full payment due within 7 days of acceptance
          OR
      $300 Split Payment Plan ($100 within 7 days of acceptance, $100 by January 1st and $100 by March 1st)

REFUND POLICY

Refund only applicable for Full Payment Plan.  Split Payment Plan is not eligible for refunds. Fee is not transferable.

  • 25% cancellation fee if requested via SJW email no later than January 1st
  • 50% cancellation fee if requested via SJW email no later than March 1st
  • 75% cancellation fee if requested via SJW email no later than April 1st

APPLICATION AND REGISTRATION PROCESS

Registration for Connecting The Pieces - An SJW Retreat is different than for most events. To best meet the needs of the attendees and provide a
safe experience for all, anyone interested in attending must complete an application for review. Sending an application does not guarantee
attendance.  If you have any questions or concerns please do not hesitate to email us.

    Step 1
    Fill out the online application below and hit 'Send Application'. The Application will be automatically sent to sjw.information@gmail.com

    Step 2
    Once we have checked with your references and determined your eligibility we will send you an email letting you know that you have met
    the requirements for SJW. We will also send payment information and a more detailed questionnaire about food preferences/medical
    information etc. Your space will be reserved when payment and the completed detailed questionnaire is received. Full or first payment
    must be made no later than seven (7) days after we send your acceptance email.

    Step 3
    Once your payment is received in full, you will receive an official welcome letter with schedules, specific location of the event, etc.


Scholarship opportunities may be available. For more information contact us: SJW Scholarship Information


ALL INFORMATION REQUIRED. PERSONAL INFORMATION WILL REMAIN CONFIDENTIAL.
We will inform you of receipt of application and payment status within 3 business days of receipt of application.
Have you previously
attended an SJW Retreat?
Your First Name
Your Last Name
Nickname (For your Namebadge)
Email Address:
Snail Mail Address:
Phone Number:
Identification: (submissive,
slave, boy, boi, pup, property, etc)
Gender:
Date of Birth (mm/dd/yyyy)
Age 18 and older only
Social Network Nicknames
(FetLife, LJ, Recon etc)
Why do you want to
participate in SJW and what
do you hope to gain from this
experience?
List any service/skill sets that
especially interest you
List two (2)  personal d/s or BDSM references that we may contact. These must be people other than you Daddy/Mistress/Master/Sir etc or those
in your immediate 'family'. Please inform these people that you are using them as references.
Reference #1 Name:
Reference #1 Email
How do you know this person?
Reference #2 Name:
Reference #2 Email
How do you know this person?
If you are currently in a Power Exchange relationship (ie: you have a Daddy/Mistress/Master/Sir, etc.) please provide their name and email contact.
If you are not currently in a Power Exchange Relationship indicate this status with N/A
Your D-type's Name:
Your D-Type's Email
By my signature below, I acknowledge:
  • That I have read the forgoing document and agree to the spirit of the event
  • That I will preserve confidences of all attendees and staff before, during and after the event.
  • I have read and agree to Registration and Refund Policy.
  • That if I am currently in service to a D-Type that I have communicated the policy regarding the event to him/her
  • That if I am currently in service to a D-Type that I have his/her permission to attend.
Your Electronic Signature
Date (mm/dd/yyyy)
By my signature below, I acknowledge:
  • That I have read the forgoing document and agree to the spirit of the event.
  • I have read and agree to Registration and Refund Policy.
  • That I give permission for my s-type to attend the event.
  • I understand that my s-type is the only one responsible during the retreat to insure their compliance with my directives.
D-type's Electronic Signature
Date (mm/dd/yyyy)