Rejuvenate - a creative women’s retreat to refresh body, mind, and spirit

Welcome to registration for Rejuvenate – a creative women’s retreat to refresh body, mind, and spirit.

Facilitated by Stephanie Sharp, Jude LaFollette, and Neva Cockrell.

To register multiple individuals in the same order, you can return from the checkout page to add additional registrants.

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Name*

First Last Pronouns

Email*

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Phone*

Food!

We work to provide nourishing, ethically sourced food to meet a wide range of dietary restrictions and preferences. There is always fridge and pantry space available for any personal items you choose to bring with you, but please tell us what food helps you thrive, and any foods you avoid.

Access = Love. Is there anything about your physical or mental condition that might impact your stay at WildHeart? If so, what support can we provide?

Please share a little about your artistic practice, and any particular projects or explorations you’re excited to work with.*

Housing Preference*

We are offering three tiers of housing options, to make the retreat experience more financially accessible. All prices include food and housing, and full participation in the retreat! (except for commuter, which excludes housing and food with an option to join some or all meals seperately)

Early Arrival?*

Would you like to arrive one day early, on Wednesday evening after 4pm? Includes Wednesday dinner and Thursday breakfast.

Emergency Contact:

Emergency Contact's Name*

First Last

...relationship to you:*

their email*

and phone number*

How do you plan to travel to WildHeart?*

Other?

If you have participated in WildHeart programming before, which event(s)? If not, how did you hear about us?

Is there anything else you'd like us to know about your stay?

Total

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Subtotal
$0.00
Options
$530.00
Total $530.00

Alternative:

Once you’ve filled out the form, please click “Add to Cart” and you will be redirected to the cart. If you are registering more than one person, you can fill out the form multiple times before checking out.

On the cart page, make sure you only have the number of registrations you intend to pay for… you can use the “X” to remove registrations in the cart.

Rejuvenate – a creative women’s retreat to refresh body, mind, and spirit

Emergency Contact:

WildHeart
CENTER FOR PERFORMANCE AND EMBODIMENT PRACTICE

Get Updates And Stay Connected

Contact Information

Rejuvenate – a creative women’s retreat to refresh body, mind, and spirit

Emergency Contact:

WildHeart CENTER FOR PERFORMANCE AND EMBODIMENT PRACTICE

Get Updates And Stay Connected

Contact Information

WildHeart
CENTER FOR PERFORMANCE AND EMBODIMENT PRACTICE