Wild Heart Retreats: Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Creativity/Writing Retreat in Cedar, Michigan

2020 Dates:
May 13th - 17th
August 12th - 16th

Full Name *

Preferred Email Address *

Retreat you're interested in attending (can check more than one): *

May 13th - 17th

August 12th - 16th

Required

Check all that describe you as a creative. (Note: These are your interests ONLY. Not if you've been published, etc.) *

Creative writer

Copywriter

Visual Artist (drawing, painting, etc.)

Musician

Song Writer

Other:

Required

How long have you been working on your craft(s)? *

What do you hope to accomplish MOST from this retreat? *

Do you consider yourself an introvert or extrovert? *

Introvert

Extrovert

A little of both

Are you interested in nature-based and movement therapies such as: yoga, nature walks, star and weather patterns, seasonal and zodiacal live? *

YES! Very.

Yes, I'm a little curious.

Not really, but I'll tolerate it.

No, not at all.

I'm not sure.

Would you be interested in teaching a one-hour workshop at the retreat on an area you consider yourself an expert in? (You would receive a small discount and I would help you curate your lesson.) *

Yes

One last thing: Tell me a little more about you and your work. You can put anything here (including your Hogwarts House, but it's totally okay if you don't!)

Terms & Agreements (must check all): *

I understand that I am responsible for my own travel to and from the retreat location within the check-in and check-out time frames. (Don't worry, we'll help you catch a ride through car-pooling or Uber).

I understand that my $100 deposit is due within 24 hours of acceptance. If it is not received, my spot will be given up.

I understand that I can cancel my spot in the retreat up until two months prior to the retreat to receive a full refund of my deposit. if I cancel after that date, my deposit will not be refunded. No exceptions.

I agree to pay the remaining balance of $450 dollars by two months prior to the retreat. If I do not, my spot will be given up and my $100 deposit will not be refunded.

I understand that I will be sharing a large bedroom/bathroom with 1 other person. (You can choose this person, or we can pair you up).

I am ready to have a good time, learn about myself and my process, and make some cool stuff.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms