LIFE IN BALANCE Women’s Wellness Retreat, September 14 –20, 2019

6-Nights, 7-Days Aspen, Colorado

BODY MIND HEART SOUL Contact: Dianne@porchiaswish.com 310-455-2851; Cell: 310-850-2499

REGISTRATION FORM; A Separate Registration Form Required For Each Participant

Full Name: ____________________ (D/B: MM/DD/YY) __________________

Street Address _________________________________________________________Cell Phone:_____

City______________________________________State _______ ZIP ____________Email Address:

EMERGENCY CONTACT: Name _____________________________ Cell Phone:

I am traveling with #_____________ roommates. I am traveling alone and need roommate assignment._____________

My Roommate #1 Name:_____________________________________________________ Cell Phone:_____________________________

My Roommate #2 Name_____________________________________________________ Cell Phone:_____________________________

LIFE IN BALANCE Women’s Wellness Retreat includes a private screening of HEAL Documentary about the power of mind-body medicine and spiritual practices to heal the body. Followed by Q&A with Dianne Porchia who is featured in the film along with Deepak Chopra, Joe Dispenza, Bruce Lipton, Anita Moorjani and other notable names in the cutting edge of holistic wellness, science, medicine and spirituality, for her successful work with advance stage cancer client who remains cancer free over five years after diagnosis of stage IV anal cancer. Life In Balance Wellness Retreat is a unique opportunity to work with Dianne Porchia in an intimate setting of 20 women.

During this combined indoor and active outdoor retreat participants will learn:

♥ How to identify your somatic dis-ease

♥ How emotions affect immune function

♥ 7 Steps for Peaceful Conflict Resolution

♥ How to attune to your body-intelligence

♥ Essential life tools never taught in school

♥ Heart-soul centered communication skills

♥ Nine Traps that cause mental-emotional stress

♥ Experience how exercise in Nature HEALS body-mind-heart-soul ♥ Set Self-honoring boundaries AND maintain loving connections with others ♥ Wellness program has daily processes in Nature while walking, hiking, cycling, horseback riding

Luxury accommodation at The Gant Aspen Resort, A Destination Hotel®, in standard accommodation of 2-bedroom +2 bathroom condo units with double or triple occupancy. One king bed room and one double queen or double twin beds room. Each condominium at Resort is individually owned so decor and bedding may vary. Many, but not all two bedroom condo units include a queen size sofa sleeper. Assignment of accommoda-tions by location is at the discretion of The Resort based on availability at the time of group arrival. Resort cannot guarantee reservations for specific room numbers or locations. Address: 610 S. West End Street, Aspen, CO 81611. Phone: 970-925-5000. www.gantaspen.com Price includes accommodation as described above, resort fees and room taxes; 6 breakfast vouchers totaling $120 for The Gant’s on premise Pepper Jack’s Café; group small plate welcome reception first night; Program opening day with lunch and private screening of HEAL Documentary at the Aspen Meadows, Home of the Aspen Institute; 4 group al fresco lunches during Program’s outdoor activities including cycle day to Woody Creek Tavern, Heart Wisdom Circle at the John Denver Memorial Park and 4-hour Vipassana horseback ride, picnic and Heart Wisdom Circle on the Eastern Marron Bells Trail; one guided destination hike to historic Ashcroft followed by special group lunch at the famous Pine Creek Cookhouse; 2 group dinners in Aspen town; transportation to all Program group activities, Gant Van transportation during hours of operation from and to Aspen

airport and Aspen town excursions and Porchia’s WISH™ Life In Balance Holistic Wellness Program and outdoor activities. Ample free time for

personal reflection, relaxation and exploring Aspen town on your own. Price does not include incidentals and extras charged to your room, alcoholic beverages, 1 lunch and 3 dinners on your own, activities, rentals, transportation out-side of scheduled Program, special transportation needs, airfare, housekeeping tips. Note: Only room and tax charges shall be applied to Program master account. Individual guests are responsible for payment of their own incidental charges. One open credit card imprint per unit will be required at check in to secure incidental charges/or damages. Roommates are responsible for sorting out responsible parties and payment of all incidentals charged to their condo unit. Cancellation Policy: Up to 123 days prior to start date of Retreat (May 14, 2019) twenty percent (20%) of Retreat Price is forfeited. 90 to 31 days prior to start date of Retreat (June 14, 2019—August 13, 2019) sixty percent (60%) of Retreat Price is forfeited. 30—0 days prior to start date of Retreat one hundred percent (100%) of Retreat Price is forfeited. No shows, early departures and/or late arrivals will be charged for full Retreat Price. Cancellations must be made in writing directly to Dianne@porchiaswish.com. Porchia’s WISH™ retains interest earned on Retreat Price. Force Majeure: No damages shall be due for a failure of performance occurring due to Acts of God, war, terrorist act, government regulation, riots, disaster, or strikes any one of which make performance impossible. The Resorts contracted and Porchia’s WISH shall have no liability for power disruptions or any kind.

Payment by Credit Card: via Pay Pal to: dianne@porchiaswish.com. Bank Transfer via Venmo / Apple Pay 01-310-850-2499 Please complete both sides of this Registration Form and return via e-mail to: dianne@porchiaswish.com →►

Your reservation is not guaranteed until payment in full is received by Porchia’s W.I.S.H., Inc. ™.

Retreat Price: $4,600 p/person 10% of Workshop Fee Goes to Charity

Registration Deadline: May 1, 2019 Payment in Full Due Upon Registration

Space Limited to 20 Women

BOOK NOW To Ensure Your Place

Pay Pal To: Dianne@porchiaswish.com Venmo / Apple Pay: 310-850-2499

Physical Fitness Life In Balance Women’s Wellness Retreat Program in Aspen, Colorado combines holistic mind-body-heart-soul wellness education and experiential process work with daily out-door exercise and activities in Nature. Porchia’s unique heart-centered, somatic mindful-ness approach helps to move low-vibration mental-emotional energy in the body, clearing the way for new beginnings to achieve your goals for integrated health, wellness, happi-ness and success.

Outdoor activities include walking, hiking, cycling and horseback riding. Walks and hikes range from 1- 4 miles round trip and are rated in strenuousness about 3 on a scale of 1 (low) -5 (high). Cycle to Woody Creek is an easy 16 miles RT on the flat paved Rio Grande riverside bike path. Guided 2-mile nature hike to the historic ghost town of Ashcroft followed by special lunch at the Pine Creek Cookhouse. No previous experience is necessary for the gentle 4-hour round trip horseback ride on the Eastern Maroon Bells Trail which is broken up by picnic lunch and Wisdom Circle at our meadow destination.

No sag wagon is provided for any activities and registrants are expected to complete all physical group outdoor activities without assistance. Special arrangements may be made for those with physical limitations with advance notification at time of registration and for an additional cost.

By registering for this Retreat Program attendee states they are in good enough health and physical fitness to participate in all activities without assistance or need of sag wagon.

Your Health & Wellness: It is the Registrant’s responsibility to inform Porchia of any health issues that may impede or affect their ability to participate in any activity. If you have any physical injury, medical condition or allergy that would affect your ability to partici-pate fully in this Retreat it is attendee’s responsibility to obtain medical release from your doctor and give copy to Dianne Porchia at time of Registration or prior to start of Retreat. Dianne Porchia is not responsible for any injuries, accidents, trauma or mishaps Registrant may incur while on Well-ness Retreat and holds her harmless of all consequences

Registrant’s Signature Date

Retreat Starts at 6:00 pm day of arrival. Ends 12:00 noon day of departure. Resort check-in time is 4:00 pm. Check-out time is 10:00 am. For Gant Van transportation from Aspen airport call 970-925-5000 upon arrival. The Gant Concierge at 970-925-5000 or gantconcierge@destinationhotels.com Luggage Storage and changing rooms with showers are available for guests arriving before or departing after posted check-in/check-out times. Parking: Complimentary on-site parking is limited. Parking permits are restricted to one vehicle per condominium. Guest must register their vehicle with The Gant Front Desk. Damage: All Gant units are privately owned Condominium Units. Guests are responsible for damage. A Damage Deposit may be required upon check-in. No pets are al-lowed. High speed internet access, local calls, 800 call access, in-coming and outgoing domestic calls and faxes and tennis court rental fees are included in Resort Fee. Long distance and international calls have a rated charge payable by guest. International faxes are charged @ $3.50 per page for the first 4 pages and $1.00 per additional page. Rate for receiving faxes is included in Resort Fee.

What To Bring:

♥ Childhood photo aged 5-12 ♥ Comfortable hiking shoes ♥ Camelback or Water bottle ♥ Day pack for hikes & cycling ♥ Sun screen, sun glasses, sun hat ♥ Layered clothes for day & night ♥ Journal & Pen ♥ BODY willing ♥ MIND open ♥ HEART compassionate ♥ SOUL ready to be inspired

Copyright All Rights Reserved © Dianne Porchia 2013 No portion of this Wellness Retreat Program or materials may be used without prior written permission.

LIABILITY DISCLAIMER: Dianne Porchia / Porchia’s WISH™ INC.(hereafter PWI), is not responsible or liable for actions taken by third party service providers, suppliers, vendors, hotel, motor coach, airline or other personnel or for any injury that may result from provider of services. Third party service providers are independently owned and operated and not employees of PWI. PWI reserves the right to substitute suppliers of special offerings, meals and workshop materials with a replacement of equal or similar amenities, standards or quality at her discretion without penalty. Disclaimer: Dianne Porchia is not a licensed marriage and family thera-pist, psychiatrist, medical doctor, physical trainer, physical therapist or nutritionist and is not responsible for any injuries, damage, accidents or mishaps that may occur to participants during any portion of this Retreat. Program. Dianne Porchia at her sol discretion retains the right to require any participant to withdraw from a Retreat program or activity at any time without penalty, if determined to be in the best interest of the health, safety and general wellbeing of the individual participant or of the Retreat group. Payment of the Retreat Price constitutes acceptance of these terms and conditions.