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Wild Woman Retreat Application
Thank you for your interest in our first-ever Wild Woman Retreat! Jill and I are thrilled to offer this experience together as women. We will be exploring and embodying some of Clarissa Pinkola Estés' words in Women Who Run With The Wolves.

This is about our becoming as women. May we lean into more sovereignty in our own lives and reclaim our wildish nature as women. 

Deadline to sign-up is August 7.

WHAT: Wild Woman Retreat. 4-day counseling intensive that includes small group and individual storywork and ritual opportunities within Michigan woodland setting. Also includes preparatory work to complete before August 14.
WHEN: August 28-31 (Thursday 5:30p through Sunday 12p). 
WHO: 
Facilitators: Jessie Filicicchia and Jill Dyer 
Participants: Up to 9 Women
WHERE: 
The Hermitage
11321 Dutch Settlement Rd.
Three Rivers, Michigan 49093
https://maps.app.goo.gl/SnYbsP1ZN5NSFxCp7
COST: $1600 USD all-inclusive ($2290 CAD) due no later than July 1. $500 USD non-refundable ($716 CAD) deposit to secure your spot. Payment plans available. Cost includes program, accommodations, and meals. Remote Biofield Tuning sessions available during retreat for additional cost. Sign-up here: https://calendly.com/jillianfaldmo/wildwomanretreat?month=2025-08
Massage therapy sessions available onsite for additional cost. Email Jessie to sign-up.

Please complete this application form and send in your deposit in order to secure your spot. 
Etransfer: jessfilicicchia@gmail.com
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What is your name? *
What is your phone number? *
What is your email address? *
What is your place of residence? *
What is your age? *
What is your cultural identity? *
Do you have any dietary restrictions? *
Required
What specific parts of your story or specific issues are you hoping to engage this Wild Woman Retreat? *
How did you hear about Wild Woman Retreat? Who referred you? *
Describe what you would like to be different for you as a result of this experience. *
Have you spent time working through your story in therapy? Other contexts? Please describe. *
How willing do you feel to lend relational trust with leaders and participants during this retreat? How do you imagine yourself showing up in group work? *
Please let us know any concerns (psychological, emotional, relational, medicinal, logistical, or otherwise) you have that might influence your retreat experience. *
Do you currently have regular therapeutic care? Do you anticipate having this in place in September (after our Wild Women Retreat)? *
Do you have any dual relationships with facilitators and/or participants that you know of? Please list the names, the nature of the relationship, and how you anticipate being impacted by their presence at this retreat. Do you have any concerns? *
Do you have any other questions, comments, or concerns you'd like to share with us (Jessie and Jill) about your prospective participation in this Wild Woman Retreat? *
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