WILD WOMAN RETREAT APPLICATION '22
To join the Wild Woman Retreat please complete this application. Due to the intimate nature of this experience. and the limited spots available we want to make sure that this retreat is truly the best fit for each participant. For more details head to: https://www.riseaswe.com/retreats

DM (@amandaontherise) or email (amanda@riseaswe.com) Amanda with any questions!
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Name (First, Last) *
Email Address *
Instagram handle *
Phone Number *
How did you hear about the retreat? *
Are you physically able to go on a moderate 4-5 mile hike? *
Are you comfortable with sharing accommodation space? *
You'll have your own bed, but in a shared room
What are you hoping to get out of this experience? *
How are you currently feeling stuck in your healing? *
What other healing modalities or self care practices do you current embody? *
Are you on any medication we should know about? Do you have any allergies? Any specific nutritional needs? Add anything else about your health we may need to know. *
If I'm offered a spot in this retreat I understand that it is $1,800 and am prepared to make that investment. *
Required
Do you have any worries or hesitations? If so, and you're comfortable sharing, what are they? *
Anything else you’d like to tell or ask us? *
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