Event Intake Form

Event Details

Is this your first paid event this calendar year with Quintessence Sanctuary? *

Yes

If YES, upload W-9 Form: https://www.irs.gov/pub/irs-pdf/fw9.pdf

W-9 must be submitted to receive payments

Event Logo/Image *

Square Format

Event Name *

Promotional Event Description *

Event Location *

Maximum Participants *

Ticket Price *

If free event or invite only, place $0

Any special information to request on participant signup form? *

Any specific notes you'd like us to be aware of regarding your event? *

Contact Information

First Name *

Last Name *

Phone *

Email *

Please check your spam folder and mark emails as not spam to ensure future ceremony confirmations and important communications are received.

Organization *

Website/Instagram *

Are you a veteran or currently serving in the military? *

Yes

How did you hear about us? *

Were you referred to us by someone? *

Yes

Event Schedule

Event Date *

Event Start Time *

Event End Time *

Pre-Event Setup Time Needed *

Post-Event Breakdown Time Needed *

Is this is a one-time or recurring event? *

One-Time

Recurring

Messaging & Automations (BEFORE EVENT)

Send specific automated SMS message before event to participants? *

Yes

Send specific automated EMAIL message before event to participants? *

Yes

Messaging & Automations (AFTER EVENT)

Send specific automated SMS message after event to participants? *

Yes

Send specific automated EMAIL message after event to participants? *

Yes

Agreement & Waiver

I understand that I am responsible for my event and all participants. I release Quintessence, its owners, staff, and affiliates from any liability for injury, illness, property loss, or damages arising from my event. *

Yes

I agree to be financially responsible for any damage caused by me, my team, or my guests done through acts of negligence. *

Yes

I agree to leave the venue in the same condition it was found. *

Yes

I agree to no illegal substances, unauthorized alcohol, or prohibited activities. *

Yes

I agree to follow all health, safety, and legal requirements. *

Yes

I agree to respect all agreed-upon load-in/load-out times. *

Yes

I understand that the first $200 of ticket sales will be allocated to Quintessence Sanctuary. Thereafter, all additional ticket sales will be split on a 70/30 basis, with 70% paid to the facilitator/organizer and 30% retained by Quintessence Sanctuary. *

Yes

By checking this box, I agree to receive email and SMS notifications from Quintessence, including event updates, booking confirmations, alerts, and occasional related marketing communications. I understand that message frequency may vary, and standard message and data rates may apply. For assistance, I can text HELP to (725) 999-4747, and I can reply STOP at any time to unsubscribe. We will not share, sell, or distribute your personal information to third parties. Your data will only be used for communication directly related to Quintessence activities and services.

Signature

Clear

If form will not submit, please ensure nothing is left blank and try again