Application Form: Tending the Wild Soul
We are excited to welcome you on our one week course, cultivating a deeper connecting to ourselves and the land around us.

Thank you for taking a moment to fill in this form! It will help us to learn a little bit more about you, your intention for joining us and your preferred ways of being in touch.

This form is confidential and your data will not be shared with anyone but the facilitators.

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What's your full name? *
What's your e-mail address? *
Where are you currently based? *
What's your gender and preferred pronouns? *
How did you hear about the training? *
What draws you to this training and how do you envision using this in your wider life? *
Do you have any special dietary requirements?
Do you have any questions or concerns in regards to the course? *
By registering to this retreat “ Tending the Wild Earth Soul” you are accepting the following: I understand and acknowledge that my participation in the programme is voluntary. I understand that the programme might bring up challenging emotions at various times. In attending the programme I agree to assume total responsibility for my own safety and well-being. I release from all liability and any legal responsibility the facilitators of the programme for any injury, illness, accident, loss, or other misfortune that may occur in connection with my participation in the programme. *
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