Online Event Request Form

ROSSEAU SANCTUARY

Landing
Connecting
Receiving
Giving

Healing with the land

Online Event Request Form

Personal Information

* Indicates required field

Name *

First

Last

Contact Information (Phone and Email): *

Please indicate the best way to reach you.

Please let us know if you are applying as a Member or Guest Facilitator: *

I am a Member Facilitator I am a Member of IAC Toronto I am a Work Exchange Member I am not a Member I would like to become a Member Facilitator

Member Facilitators have paid their annual fee of $400/year, offering booking discounts and other benefits. This is ideal for those holding 2 or more events per year. Non-Member Facilitators are those holding 1 event per year, and do not wish to be as involved in the broader community initiatives. Please note that Work Exchange Members are NOT Facilitator Members.

Do you have Professional Liability Insurance? *

Yes No In Process

If you do not have Professional Liability Insurance, you will be expected to have your guests sign a waiver.

Facilitator Description and Qualifications *

Please describe your background, experience and qualifications for facilitating the content outlined in your event description.

Event Information

Event Title, Description, and Requested Dates *

Please include: Title, Description of Event, Target Audience, and Requested Dates

Please describe how this event is aligned with the values of the Rosseau Sanctuary. *

Our vision and values are available for your review on our website.

What Aspects of the Rosseau Sanctuary would you like to book for your event? *

Kitchen only, for specified date(s) and time(s) Ceremonial Room only, for specified date(s) and time(s) Healing Room only, for specified date(s) and time(s) All of Home Farm (the Main Lodge, grounds, and cabins) Other (specify in description please)

How many people do you foresee attending the event? *

Please provide a range.

Terms and Conditions

Please Confirm that you have read the Terms and Conditions *

Yes No

Submit

Create your own unique website with customizable templates.