{"id":5210,"date":"2019-04-23T01:25:43","date_gmt":"2019-04-23T01:25:43","guid":{"rendered":"http:\/\/visiones.org\/registration-form-medicina-feminina"},"modified":"2026-04-15T05:09:21","modified_gmt":"2026-04-15T05:09:21","slug":"registration-form-medicina-feminina","status":"publish","type":"page","link":"https:\/\/visiones.org\/de\/registration-form-medicina-feminina","title":{"rendered":"Registration Form Medicina Feminina"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; parallax=&#8221;on&#8221; custom_padding=&#8221;42px|0px|52px|0px|false|false&#8221; top_divider_color=&#8221;rgba(66,0,38,0.22)&#8221; top_divider_height=&#8221;220px&#8221; da_disable_devices=&#8221;off|off|off&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;25px|0px|36px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][et_pb_blurb title=&#8221;Registration Form&#8221; content_max_width=&#8221;652px&#8221; _builder_version=&#8221;4.27.6&#8243; header_font=&#8221;Poiret One|700|||||||&#8221; header_text_align=&#8221;center&#8221; header_font_size=&#8221;35px&#8221; header_line_height=&#8221;1.1em&#8221; body_font=&#8221;||||||||&#8221; body_font_size=&#8221;16px&#8221; animation_style=&#8221;slide&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\"><strong><span style=\"font-size: xx-large;\">Soul Purpose Women&#8217;s Retreat<\/span><br \/>(spring)<\/strong><\/h1>\n<p>[\/et_pb_blurb][et_pb_divider _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;||7px&#8221; animation_style=&#8221;roll&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_blurb content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.24.0&#8243; header_font=&#8221;Poiret One|700|||||||&#8221; header_text_align=&#8221;center&#8221; header_font_size=&#8221;35px&#8221; body_font=&#8221;||||||||&#8221; body_text_align=&#8221;justify&#8221; animation_style=&#8221;slide&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span><strong>All our retreats and ceremonies serve as research studies<\/strong> in order to explore and evaluate the effect of the used plants and practices as holistic healing techniques.<br \/>Our aim is to support the holistic healing of body mind and soul with alternative practices, to promote a balance in life and to support an alternative healthy lifestyle that is in harmony with our nature.<br \/><\/span><\/p>\n<p><span>To participate in our retreats \/ research studies, <strong>it is necessary to become a member of our association<\/strong>.<br \/>For this we also offer a <strong>free short-term membership<\/strong>. You can select your membership type below in the registration form.<\/span><\/p>\n<p>To register for one of our retreats or ceremonies, please complete all fields of this registration form and <strong>read our registration informations below carefully<\/strong>.<\/p>\n<p>(All fields marked with <span style=\"color: #ff0000;\">*<\/span> are required fields.)<\/p>\n<p>If you have any questions or problems with the booking form or if you see no confirmation direct after sending, you can contact us at:\u00a0<a href=\"mailto:spain@visiones.org\" target=\"_blank\" rel=\"noopener noreferrer\">spain@visiones.org<\/a><\/p>\n<p>[\/et_pb_blurb][et_pb_divider _builder_version=&#8221;4.16&#8243; animation_style=&#8221;roll&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_code _builder_version=&#8221;4.17.1&#8243; global_colors_info=&#8221;{}&#8221;]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-29965\"><form id=\"wpforms-form-29965\" class=\"wpforms-validate wpforms-form\" data-formid=\"29965\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/de\/wp-json\/wp\/v2\/pages\/5210\" data-token=\"9d0e13780344c6465c3b2947b6e55dd9\" data-token-time=\"1777505553\"><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-29965-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_9\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29965-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">First name &amp; last name<\/div><\/div><div id=\"wpforms-29965-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_3\">E-Mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-29965-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-29965-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_43\">Mobile Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29965-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" required><div class=\"wpforms-field-description\">Country code &amp; mobile number<\/div><\/div><div id=\"wpforms-29965-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_6\">City<\/label><input type=\"text\" id=\"wpforms-29965-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-29965-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_8\">Country <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29965-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-29965-field_1-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_1\">Retreat <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-29965-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required=\"required\"><option value=\"Women&#039;s Retreat Spring - 6 Day integrative Plant Medicine Journey with Horses - Andalusia \/\/\/ 16\/06-21\/06\/2026 (Research contribution \u20ac 1800,- + accommodation &amp; food)\"  class=\"choice-4 depth-1\"  >Women's Retreat Spring - 6 Day integrative Plant Medicine Journey with Horses - Andalusia \/\/\/ 16\/06-21\/06\/2026 (Research contribution \u20ac 1800,- + accommodation &amp; food)<\/option><\/select><div class=\"wpforms-field-description\">Which retreat would you like to sign up for?<\/div><\/div><div id=\"wpforms-29965-field_44-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Accommodation option <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_44\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-12 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_12\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2024\/07\/Dormitorio-a.jpg\" alt=\"Group Dormitory - with 4 individual beds and shared bathroom (+ \u20ac 360,- for accommodation &amp; meals - per person)\" title=\"Group Dormitory - with 4 individual beds and shared bathroom (+ \u20ac 360,- for accommodation &amp; meals - per person)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_12\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Group Dormitory - with 4 individual beds and shared bathroom (+ \u20ac 360,- for accommodation &amp; meals - per person)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Group Dormitory - with 4 individual beds and shared bathroom (+ \u20ac 360,- for accommodation &amp; meals - per person)<\/span><\/label><\/li><li class=\"choice-8 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_8\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2025\/01\/57.-Main-House-Room-One-Twin-Room-2.jpg\" alt=\"Shared twin room - with 2 separate single beds and shared bathroom (+ \u20ac 440,- for accommodation &amp; meals - per person)\" title=\"Shared twin room - with 2 separate single beds and shared bathroom (+ \u20ac 440,- for accommodation &amp; meals - per person)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_8\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Shared twin room - with 2 separate single beds and shared bathroom (+ \u20ac 440,- for accommodation &amp; meals - per person)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Shared twin room - with 2 separate single beds and shared bathroom (+ \u20ac 440,- for accommodation &amp; meals - per person)<\/span><\/label><\/li><li class=\"choice-15 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_15\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2026\/04\/102.-Bell-Tent-River-Area-Dam.jpg\" alt=\"Glamping Bell Tent \u2013 single occupancy with outdoor bathroom (+ \u20ac 460 per person for accommodation &amp; meals)\" title=\"Glamping Bell Tent \u2013 single occupancy with outdoor bathroom (+ \u20ac 460 per person for accommodation &amp; meals)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_15\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Glamping Bell Tent \u2013 single occupancy with outdoor bathroom (+ \u20ac 460 per person for accommodation &amp; meals)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Glamping Bell Tent \u2013 single occupancy with outdoor bathroom (+ \u20ac 460 per person for accommodation &amp; meals)<\/span><\/label><\/li><li class=\"choice-16 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_16\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2025\/01\/68.-Main-House-Room-Three-Double-Room-1.jpg\" alt=\"Double Room - with private bathroom (+ \u20ac 560,- for accommodation &amp; meals)\" title=\"Double Room - with private bathroom (+ \u20ac 560,- for accommodation &amp; meals)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_16\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Double Room - with private bathroom (+ \u20ac 560,- for accommodation &amp; meals)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Double Room - with private bathroom (+ \u20ac 560,- for accommodation &amp; meals)<\/span><\/label><\/li><li class=\"choice-11 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_11\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2025\/01\/67.-Main-House-Room-Two-Single-Room.jpg\" alt=\"Single room - with shared bathroom (+ \u20ac 560,- for accommodation &amp; meals)\" title=\"Single room - with shared bathroom (+ \u20ac 560,- for accommodation &amp; meals)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_11\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Single room - with shared bathroom (+ \u20ac 560,- for accommodation &amp; meals)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Single room - with shared bathroom (+ \u20ac 560,- for accommodation &amp; meals)<\/span><\/label><\/li><li class=\"choice-13 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_44_13\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/visiones.org\/wp-content\/uploads\/2025\/01\/72.-Main-House-Room-Three-Single-Room-1.jpg\" alt=\"Single Room - with private bathroom (+ \u20ac 660,- for accommodation &amp; meals)\" title=\"Single Room - with private bathroom (+ \u20ac 660,- for accommodation &amp; meals)\"><\/span><input type=\"radio\" id=\"wpforms-29965-field_44_13\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][44]\" value=\"Single Room - with private bathroom (+ \u20ac 660,- for accommodation &amp; meals)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">Single Room - with private bathroom (+ \u20ac 660,- for accommodation &amp; meals)<\/span><\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please choose your accommodation option. The different prices categories you will find at the retreat info page. <\/div><\/div><div id=\"wpforms-29965-field_55-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"55\"><label class=\"wpforms-field-label\">Additional overnight stay before or after the retreat (optional)<\/label><ul id=\"wpforms-29965-field_55\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29965-field_55_1\" name=\"wpforms[fields][55][]\" value=\"I would like to book one or more additional overnight stays before or after the retreat\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_55_1\">I would like to book one or more additional overnight stays before or after the retreat<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-29965-field_55_2\" name=\"wpforms[fields][55][]\" value=\"I don&#039;t need an additional overnight stay\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_55_2\">I don't need an additional overnight stay<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-29965-field_55_3\" name=\"wpforms[fields][55][]\" value=\"I&#039;m not sure yet\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_55_3\">I'm not sure yet<\/label><\/li><\/ul><\/div><div id=\"wpforms-29965-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_59\">If yes, which nights?<\/label><input type=\"text\" id=\"wpforms-29965-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\" ><div class=\"wpforms-field-description\">If yes, which additional nights before or after the retreat you would like to book? Prices for additional nights: \n\u20ac 60,- private Glamping Bell Tent with outdoor bathroom \/\n\u20ac 70,- single room with shared bathroom \/\n\u20ac 80,- double room with private bathroom \/\n\u20ac 80,- single room with private bathroom \/\n\u20ac 100,- Apartment as single room or double room with private bathroom and private kitchen \/  \/  \/  Prices are without food \/ \/ \/  optional \u20ac 5,- breakfast (in self-service) per extra day <\/div><\/div><div id=\"wpforms-29965-field_45-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Shuttle service  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_45\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_45_1\" name=\"wpforms[fields][45]\" value=\"Shuttle service from the bus station Algodonales (included - no extra costs)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_45_1\">Shuttle service from the bus station Algodonales (included - no extra costs)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_45_4\" name=\"wpforms[fields][45]\" value=\"I&#039;m interested in a shared taxi with other participants - please set me in contact with them or let me know if there might be a possibility of a shuttle service from the airport\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_45_4\">I'm interested in a shared taxi with other participants - please set me in contact with them or let me know if there might be a possibility of a shuttle service from the airport<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_45_5\" name=\"wpforms[fields][45]\" value=\"I will rent a car and could give someone a lift from the airport\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_45_5\">I will rent a car and could give someone a lift from the airport<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_45_2\" name=\"wpforms[fields][45]\" value=\"No thanks, I don&#039;t need a shuttle service\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_45_2\">No thanks, I don't need a shuttle service<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_45_3\" name=\"wpforms[fields][45]\" value=\"Not sure yet, I&#039;ll let you know later\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_45_3\">Not sure yet, I'll let you know later<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Do you need a shuttle service?<\/div><\/div><div id=\"wpforms-29965-field_46-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Medications <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_46_1\" name=\"wpforms[fields][46]\" value=\"No, I don\u00b4t take medications regularly\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_46_1\">No, I don\u00b4t take medications regularly<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_46_2\" name=\"wpforms[fields][46]\" value=\"Yes, I take medications regularly\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_46_2\">Yes, I take medications regularly<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Do you take any medications regularly?<\/div><\/div><div id=\"wpforms-29965-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_20\">If yes, which Medications<\/label><input type=\"text\" id=\"wpforms-29965-field_20\" class=\"wpforms-field-large\" name=\"wpforms[fields][20]\" ><div class=\"wpforms-field-description\">If yes, which medications do you take at the moment, at the time of the retreat, before or after the retreat?<\/div><\/div><div id=\"wpforms-29965-field_47-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"47\"><label class=\"wpforms-field-label\">Consumption of psychoactive substances or drugs <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_47_1\" name=\"wpforms[fields][47]\" value=\"No, I do not consume psychoactive substances or any kind of drugs at the moment and have not used any any of these in the last 12 months\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_47_1\">No, I do not consume psychoactive substances or any kind of drugs at the moment and have not used any any of these in the last 12 months<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_47_2\" name=\"wpforms[fields][47]\" value=\"Yes, I consume or consumed psychoactive substances or any kind of drugs in the last 12 months\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_47_2\">Yes, I consume or consumed psychoactive substances or any kind of drugs in the last 12 months<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Do you currently consume any psychoactive substances or drugs or did you consume psychoactive substances or drugs in the last 12 months?<\/div><\/div><div id=\"wpforms-29965-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_22\">If yes, which psychoactive substances or drugs<\/label><input type=\"text\" id=\"wpforms-29965-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" ><div class=\"wpforms-field-description\">If yes, which psychoactive substances or drugs do you currently consume or have you consumed in the last 12 months?<\/div><\/div><div id=\"wpforms-29965-field_48-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"48\"><label class=\"wpforms-field-label\">Physical health problems <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_48_1\" name=\"wpforms[fields][48]\" value=\"No, I don\u00b4t have physical health problems (especially no heart disease, epilepsy, asthma, liver problems, high blood pressure or low blood pressure)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_48_1\">No, I don\u00b4t have physical health problems (especially no heart disease, epilepsy, asthma, liver problems, high blood pressure or low blood pressure)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_48_2\" name=\"wpforms[fields][48]\" value=\"Yes, I have physical health problems\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_48_2\">Yes, I have physical health problems<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Do you have physical health problems?\nEspecially any type of heart disease, epilepsy, asthma, liver problems, high blood pressure or low blood pressure.<\/div><\/div><div id=\"wpforms-29965-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_17\">If yes, which health problems<\/label><input type=\"text\" id=\"wpforms-29965-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\" ><div class=\"wpforms-field-description\">If yes, which physical health problems do you have?<\/div><\/div><div id=\"wpforms-29965-field_49-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"49\"><label class=\"wpforms-field-label\">Mental health problems <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_49\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_49_1\" name=\"wpforms[fields][49]\" value=\"No, I don&#039;t have any mental health problems at the moment and I haven&#039;t had any in the past\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_49_1\">No, I don't have any mental health problems at the moment and I haven't had any in the past<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_49_2\" name=\"wpforms[fields][49]\" value=\"Yes, I have currently or had in the past mental health problems\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_49_2\">Yes, I have currently or had in the past mental health problems<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_49_3\" name=\"wpforms[fields][49]\" value=\"I had in the past a psychosis, I could be prone to psychosis or there were cases of psychoses in my family\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_49_3\">I had in the past a psychosis, I could be prone to psychosis or there were cases of psychoses in my family<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Do you currently have or have you had any mental health problems? Or are you possibly prone to psychosis or are there cases of psychosis in your family?<\/div><\/div><div id=\"wpforms-29965-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_24\">If yes, which mental health problems <\/label><input type=\"text\" id=\"wpforms-29965-field_24\" class=\"wpforms-field-large\" name=\"wpforms[fields][24]\" ><div class=\"wpforms-field-description\">If yes, which mental health problems do you have currently or do you had in the past? And when?<\/div><\/div><div id=\"wpforms-29965-field_51-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"51\"><label class=\"wpforms-field-label\">Pregnancy <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_51\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_51_1\" name=\"wpforms[fields][51]\" value=\"No, I&#039;m not pregnant right now\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_51_1\">No, I'm not pregnant right now<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_51_2\" name=\"wpforms[fields][51]\" value=\"Yes, I\u00b4m pregnant at the moment\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_51_2\">Yes, I\u00b4m pregnant at the moment<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Are you pregnant at the moment?<\/div><\/div><div id=\"wpforms-29965-field_52-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"52\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-29965-field_52\">Pregnancy week <\/label><input type=\"text\" id=\"wpforms-29965-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\" ><div class=\"wpforms-field-description\">If yes, in which pregnancy week are you at the moment?<\/div><\/div><div id=\"wpforms-29965-field_36-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-29965-field_36\">Further informations<\/label><textarea id=\"wpforms-29965-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" ><\/textarea><div class=\"wpforms-field-description\">If you want to tell us something else...<\/div><\/div><div id=\"wpforms-29965-field_53-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"53\"><label class=\"wpforms-field-label\">How did you find us? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_53\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_1\" name=\"wpforms[fields][53]\" value=\"I&#039;m already in your mailing list and receive the &#039;Visionletter&#039;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_1\">I'm already in your mailing list and receive the 'Visionletter'<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_2\" name=\"wpforms[fields][53]\" value=\"Retreat Guru\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_2\">Retreat Guru<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_9\" name=\"wpforms[fields][53]\" value=\"ZenBooking\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_9\">ZenBooking<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_10\" name=\"wpforms[fields][53]\" value=\"Tripaneer\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_10\">Tripaneer<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_3\" name=\"wpforms[fields][53]\" value=\"Instagram\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_3\">Instagram<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_4\" name=\"wpforms[fields][53]\" value=\"Facebook\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_4\">Facebook<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_5\" name=\"wpforms[fields][53]\" value=\"Google\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_5\">Google<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_6\" name=\"wpforms[fields][53]\" value=\"through friends or family recommendations\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_6\">through friends or family recommendations<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_53_7\" name=\"wpforms[fields][53]\" value=\"other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_53_7\">other<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please let us know how or where did you find us. <\/div><\/div><div id=\"wpforms-29965-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Terms and conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_28\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29965-field_28_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"Yes, I read and accept the terms and conditions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_28_1\">Yes, I read and accept the terms and conditions<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please confirm that you read and accept our terms and conditions. You find our therms and conditions in the link below.<\/div><\/div><div id=\"wpforms-29965-field_41-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"41\"><label class=\"wpforms-field-label\">Privacy Policy <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29965-field_41_1\" name=\"wpforms[fields][41][]\" value=\"Yes, I accept the privacy policy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_41_1\">Yes, I accept the privacy policy<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please confirm that you read and accept our privacy policy. You find our privacy policy in the link below.<\/div><\/div><div id=\"wpforms-29965-field_50-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"50\"><label class=\"wpforms-field-label\">Membership Visiones Asociaci\u00f3n <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-29965-field_50\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_50_4\" name=\"wpforms[fields][50]\" value=\"Free short-term membership (valid 33 days, from the beginning of the retreat)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_50_4\">Free short-term membership (valid 33 days, from the beginning of the retreat)<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_50_1\" name=\"wpforms[fields][50]\" value=\"One-year supporting membership (ends December 31 of this year) - one time payment \u20ac 33, -\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_50_1\">One-year supporting membership (ends December 31 of this year) - one time payment \u20ac 33, -<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29965-field_50_3\" name=\"wpforms[fields][50]\" value=\"I already have a current membership \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29965-field_50_3\">I already have a current membership<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Participation in our retreats and ceremonies requires legal membership in our association Visiones.\n\nYou can choose between a free short-term membership valid for 33 days, or a one-year supporting membership (non-renewing).\n\nAll memberships automatically expire on December 31 of the current year.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-29965-field-hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-29965-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"29965\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/visiones.org\/de\/wp-json\/wp\/v2\/pages\/5210\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-29965\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/et_pb_code][et_pb_divider _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;||11px&#8221; custom_padding=&#8221;26px||&#8221; animation_style=&#8221;roll&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_blurb title=&#8221;Registration Informations (excerpt from our terms and conditions)&#8221; content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.17.1&#8243; header_font=&#8221;|600|||||||&#8221; header_text_align=&#8221;center&#8221; header_font_size=&#8221;25px&#8221; header_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||0px&#8221; custom_padding=&#8221;||13px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_blurb content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.27.6&#8243; header_font=&#8221;|600|||||||&#8221; header_text_align=&#8221;center&#8221; header_font_size=&#8221;25px&#8221; header_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||0px&#8221; custom_padding=&#8221;||13px&#8221; hover_enabled=&#8221;0&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div>\n<p><strong><span style=\"text-decoration: underline;\">Registration and Payment:<\/span><\/strong><\/p>\n<p>For participation in our research-based formats such as retreats, ceremonies, and treatments, a research contribution is charged. This contribution consists of a registration fee (reservation fee) and the remaining retreat fee.<\/p>\n<div>\n<p class=\"p1\">To confirm your participation, a deposit in the form of the registration fee is required. This must be paid by bank transfer within 7 days after your registration. Once the payment has been received, your spot is considered firmly reserved.<\/p>\n<p class=\"p3\"><b>Registration fee for 1-day ceremony:<\/b><span class=\"s1\"> \u20ac 100,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 2-day ceremony:<\/b><span class=\"s1\"> \u20ac 200,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 3-night retreats:<\/b><span class=\"s1\"> \u20ac 300,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 5\u20136-day retreats:<\/b><span class=\"s1\"> \u20ac 500,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 7\u201310-day retreats:<\/b><span class=\"s1\"> \u20ac 800,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 11-day dietas \/ 14-day retreats:<\/b><span class=\"s1\"> \u20ac 1,000,-<\/span><\/p>\n<p class=\"p3\"><b>Registration fee for 3\u20134-week dietas:<\/b><span class=\"s1\"> \u20ac 1,400,-<\/span><\/p>\n<p class=\"p1\">The remaining balance of the research contribution (including accommodation and meals) can either be paid together with the registration fee or no later than 30 days before the start of the retreat by bank transfer.<\/p>\n<p class=\"p1\">In case of late payment, we reserve the right to reassign the reserved spot.<\/p>\n<p class=\"p1\"><strong><span style=\"text-decoration: underline;\"><\/span><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Cancelation conditions:<\/span><\/strong><\/p>\n<p><span style=\"text-decoration: underline;\"><em>Cancelation from participants:<\/em><\/span><\/p>\n<p class=\"p1\">The registration fee (deposit) is non-refundable. By paying the registration fee, you reserve your place in a binding way. In case of cancellation, the deposit will be retained as a cancellation fee.<\/p>\n<p class=\"p3\"><b>Up to 30 days before the start of the retreat:<\/b><b><\/b><\/p>\n<p class=\"p1\">If you cancel up to 30 days before the start of the retreat, the already paid remaining balance of the retreat fee (including accommodation and meals) will be fully refunded. The registration fee is non-refundable in any case.<\/p>\n<p class=\"p3\"><b>29 to 15 days before the start of the retreat:<\/b><b><\/b><\/p>\n<p class=\"p1\">If you cancel between 29 and 15 days before the start of the retreat, 50% of the total retreat fee (including accommodation and meals) will be charged. The registration fee will be credited toward this amount and remains with the organizer. If the payments already made exceed this amount, no additional refund will be issued.<\/p>\n<p class=\"p3\"><b>14 to 0 days before the start of the retreat:<\/b><b><\/b><\/p>\n<p class=\"p1\">If you cancel within 14 days before the start of the retreat, 100% of the total retreat fee (including accommodation and meals) is due. All payments already made will be fully retained. No refunds will be issued.<\/p>\n<p class=\"p3\"><b>On the day of the retreat or during the retreat:<\/b><b><\/b><\/p>\n<p class=\"p1\">In case of no-show or early termination of the retreat, 100% of the total retreat fee (including accommodation and meals) will also be charged.<\/p>\n<p><span style=\"text-decoration: underline;\"><em><\/em><\/span><em><span style=\"text-decoration: underline;\">Cancelation from our side:<\/span><\/em><span><br \/><\/span><\/p>\n<p class=\"p1\">Depending on the venue, a minimum number of participants is required. If this minimum is not reached, we reserve the right to cancel the retreat. In this case, all payments already made will be fully refunded, regardless of timing.<\/p>\n<p class=\"p1\">Additional costs such as travel or transportation expenses (e.g. flights, train or bus tickets) cannot be refunded.<\/p>\n<p><span><span style=\"text-decoration: underline;\"><em>Cancelation through force majeure (for example due to COVID restrictions):<\/em><\/span><br \/><\/span><\/p>\n<p class=\"p1\">If the retreat cannot take place due to unforeseen circumstances such as force majeure, governmental restrictions, pandemics, or similar events, the registration fee will not be refunded. Instead, it will be credited as a voucher for a future retreat within 24 months.<\/p>\n<p class=\"p1\">Additional costs such as travel or transportation expenses cannot be refunded.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div>\n<p><strong><span style=\"text-decoration: underline;\">Medications &amp; health topics:<\/span><\/strong><\/p>\n<p class=\"p1\">In the context of working with plant medicine (and depending on the specific retreat format), it is required that you inform us fully and in confidence prior to your participation about all relevant health conditions, especially if any of the following apply to you:<\/p>\n<ul>\n<li class=\"p1\">regular use of medication<\/li>\n<li class=\"p1\">current or regular use of drugs or psychoactive substances<\/li>\n<li class=\"p1\">mental health conditions or acute psychological distress<\/li>\n<li class=\"p1\">cardiovascular conditions<\/li>\n<li class=\"p1\">chronic high blood pressure<\/li>\n<li class=\"p1\">liver conditions or other relevant medical conditions<\/li>\n<li class=\"p1\">pregnancy<\/li>\n<li class=\"p1\">menstruation during the retreat period<\/li>\n<\/ul>\n<p class=\"p1\">Our retreats, ceremonies, and individual sessions are experiential and supportive processes and do not replace medical or psychotherapeutic treatment.<\/p>\n<\/div>\n<p>[\/et_pb_blurb][et_pb_code _builder_version=&#8221;4.16&#8243; 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