Name * First Name Last Name Pronouns * Email * Phone * (###) ### #### Age (must be age 18 or older) * Proof of I.D. required at beginning of trip City of Residence * Lodging Accommodations Preference * King Bed (own room) : $1095 King Bed shared with friend (own room) : $900 Queen Bed (shared room) : $995 Queen Bed shared with friend (shared room) : $800 Twin Bed (shared room) : $895 What are you most looking forward to about this creative and re-wilding retreat? * Please choose all that apply the community solitude and space for rest the environment to cultivate creativity to rediscover who I am, what I want, and feel empowered to embrace it all the space to work on a creative project/bounce ideas with other creatives the delicious nourishing foods nature hikes bonfires the wood fired Finnish sauna meditation yoga journaling Have you attended a retreat like this before? If so, what did you enjoy about it the most? * Do you acknowledge that you are in charge of your own transportation to and from the retreat? * Yes No If application is accepted, payment is required within 48 hours of application being accepted. * OK! That doesn't work for me I would like a payment plan option of 50% now and 50% later Do you have any medical diagnoses that I need to know about that could potentially impact your experience and/or safety while in nature on this retreat? * If so, please explain, so you and Marybeth and Monica can be prepared in case something were to happen in the wilderness/nature. The retreat location is roughly 15 minutes from a hospital (Hayward, WI). Do you have history of injuries or physical or mental restrictions that may impact your ability to safely participate in all of our activities? If yes, please explain and we'll figure out the safest way for you to participate! * Alcohol is not provided, nor is it allowed on this retreat. Please choose your response below to acknowledge your understanding. * yes, I understand no, I do not understand I understand that we are at the will of Mother Nature, and that weather may determine whether activities may or may not happen on this retreat. * Examples may include but are not limited to : fire bans / dry weather impacting our ability to have a safe bonfire, thunderstorms/lightning/snow impacting our outdoor activities, etc. yes, I understand and will have a flexible mindset. no, I do not understand and I have questions / concerns Please tell us a little about you! * What are your favorite activities/hobbies? * Beverage preferences include : * Please check all that apply Morning Caffeinated Coffee Morning Caffeinated Tea Morning herbal tea (non-caffeinated) Evening Tea Evening Cider Evening Hot Chocolate Evening Mocktails Do you have any food allergies or diet specific restrictions? * please explain below How did you hear about this retreat? * Thank you so much for taking the time to fill this out. I will get back to you soon! Please check your spam inbox just in case my response from monica@unrulywomen.org goes there :)(If you don’t hear from me within 48 hours, please send me a reminder directly to the email above, thank you.)
