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Embodied Creator Retreat 2020 Application
Email address *
Full Name *
Your answer
Telephone # *
Your answer
Birthdate *
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Emergency Contact Name, Phone # and Relationship *
Your answer
How did you hear about this retreat? (the more specific the better!)
Your answer
What are you hoping to receive from the retreat and diving into being an Embodied Creator? In what areas of your life are you desiring to embody more creatorship, service or leadership? *
Your answer
Do you have any ancestral ties to the British Isles? Or ties to the land itself? (Not in any way a prerequisite to come, just for us to know more about you.)
If so, what is your relationship to this ancestry? What might you be interested in connecting to while we're there?
Your answer
Do you currently have a spiritual or embodiment practice? *
What does your practice look like in your daily life?
Your answer
What is your favorite creative outlet? How does your soul express itself most freely? *
Your answer
What does it mean to you to be an embodied creator? *
Your answer
What about this work (embodied creatorship) and the retreat excites you?
Your answer
What about this work and retreat scares you or makes you nervous?
Your answer
Have you travelled internationally before? *
Do you have a valid passport? (It must be valid for a minimum of 6 months prior to travel into Scotland, so APPLY NOW!) *
All food at the retreat center will be vegetarian. Do you have any other dietary restrictions? *
Please specify your dietary restrictions and we will do our best to accommodate you.
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Medical History
All information provided will be strictly confidential.
Do you have a past history of, or currently suffer from any serious health conditions? If yes, please explain. *
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Are you currently pregnant or breastfeeding? If breastfeeding, how often? *
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Have you ever been hospitalized for medical or psychiatric reasons? (If yes, please explain) *
Your answer
How do you plan to pay for the retreat? (This in no way affects your acceptance. It is just for our records).
If you have a roommate request for the retreat, please enter their name here.
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Are you planning to join us for the optional extension to Edinburgh, Arthur's Seat and Rosslyn Chapel on May 30 and 31?
I hereby confirm that I have read and understood the above information and have answered all the questions completely and honestly and have not withheld any information. My general health, as far as I am aware, is good. *
Please type your FULL NAME and today's DATE in the box below to sign and complete this form *
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A copy of your responses will be emailed to the address you provided.
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