The Gene-Sis Retreat Application

You are invited to meet the person you've always wanted to be. The magic being embodying Divine light. The part of you that lives with no shame or embarrassment. The one who can cry, laugh, be vulnerable and share in community. The one who nurtures but doesn't caretake. The one who receives but isn't needy. The one who expresses without fear and listens without judgement.

We will seal the container for two days of deep-dive humanity and spirituality from March 16 - 18, 2018. Costs range from $108 - $180 depending on your room selection and personal state of abundance. Please fill out the application form below and if you are invited to the retreat, you will be invited to register online and complete your payment. All applications are due Feb 27, 2018 - no exceptions! Please be timely in your registration and payment. And now.. tell us about yourself!

Email address *
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What is your name? *
Your answer
Best way to contact you? *
Email address? *
Your answer
Phone number? *
Your answer
Where do you live?
Your answer
When were you born?
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What is your gender? (Note: ALL genders are welcome on this retreat! Since we are doing a fairly deep dive into gender, it's important we understand your perspectives and experience, so please be specific) *
Your answer
Occupation *
Your answer
How did you hear about this retreat? *
Please describe your current spiritual practice, including overall perspectives, daily practice, and relationship to any existing religions or traditions. Feel free to add in some of your personal journey here as well *
Your answer
Tell us about your specific relationship with Jewish tradition and practice. The good, the bad, the ugly, the never-really-thought-about. Note that this retreat is open to all backgrounds and traditions, but will be based primarily on Jewish tradition and ritual. No prior knowledge or experience is necessary, this is just to help us plan accordingly!
Your answer
Can you describe your understanding of gender, the feminine, and your personal gender identity? It could be how it's seen in society, how you were taught, or how you see yourself. Note that this applies to all genders but please tell us a bit about your relationship with the feminine (or what is perceived as feminine) specifically.
Your answer
It is important to us to create a space that is conscious of other's needs in relation to their bodies, and that includes consent. Consent means asking expressly for permission when it comes to making physical contact with another, even if you believe it's been indicated or you see similar behavior with another. Please indicate you understand and will uphold our standards on retreat. If you have any questions, please indicate. *
This space will be centered around the experience of Shabbat, with space given to varying degrees of practice. For example, there will be music used during some prayer experiences. Please tell us a bit about your Shabbat practice, what restrictions are important to you, and what you are looking to get out of an intentional Shabbat retreat.
Your answer
What is your experience with meditation retreats or other modes of transformation? Have you attended retreats like this before?
Your answer
This retreat is about participation. That means showing up to all activities, on time, and while it's okay if you want to hang back, that's about being in your experience of participation, not observation. Please check YES if you're down for the journey! *
Required
Name a fear you are ready to face and leave behind.
Your answer
What is your hard boundary, a fear that is not yet ready to be released - and that's okay! *
Your answer
Please tell us your dietary requirements. Note this event will be vegetarian with fish options. Please be specific if your kosher practice ranges from the options provided below. *
In order to create an atmosphere of collaborative community, we are asking everyone to participate in a committee to help make sure things go smoothly. Please indicate which volunteer shift you'd like to participate in *
Got any other superpowers you'd like to help us with in terms of content? i.e. yoga, songleading, art, dance...
Your answer
Finally... please indicate your room preference and payment option (check all that apply). Once accepted to the retreat, you will be referred to the registration page to confirm your selection based on availability. Please indicate you agree to pay the required amount. *
Required
Finally.... what are you most excited about attending this retreat? What are you most looking forward to learning and receiving? Be specific, be general, be bold, be beautiful! *
Your answer
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