Name
*
First Name
Last Name
Date of Birth
*
What is your current vocation?
*
Do you have children? If yes, what ages? Do you have any concerns being away from them during the retreat?
*
How did you find me (Camille Willemain) and Earth Daughters?
*
Have you attended any of my past online courses, in person events, or free workshops? Describe your prior experience with my work specifically.
*
What inspired you to apply for this gathering? What called you to this event? Of the many retreats and workshops in the world, why this one?
*
What retreats, workshops, professional trainings, self healing, or personal development have you done previously?
*
Are you trained or certified in any specific healing modalities such as energy work, body work, yoga, coaching, psychotherapy, etc? Please describe.
*
What experience do you have with feminine spirituality, women's work, and the Goddess path?
*
What experience do you have with womb healing, womb wisdom, and sacred sexuality?
*
What experience do you have with feminine embodiment? Do you have a regular self practice in intuitive forms of movement and expression? (Dance, somatics, movement meditation, etc.)
*
What experience do you have in group work and women's circle work specifically?
*
What experience do you have with trauma healing? (Somatic experiencing, psychotherapy, shamanic healing, ancestral healing, womb work, counseling, somatics, etc.)
*
Briefly share your healing/awakening journey.
*
Tell me about your relationship to Gaia (Mother Earth)...
*
At the deepest level, what do you hope to receive from this experience? How do you hope it will support your path and life?
*
How are you being called to serve?
*
What are your prayers and visions for our world?
*
What does it mean to you to be a Priestess of Gaia?
*
What gifts of the feminine do you feel you embody?
*
What wounds of the feminine do you desire to heal?
*
How do you feel about gathering with a group of women in an immersive space for one week?
*
How available do you feel for expressing yourself vulnerably in a circle of women? How willing are you to hold a space of compassion without giving feedback or advice?
*
What would you like to receive from the sisterhood we'll be co-creating on retreat? What would you like to offer the sisterhood?
*
Are you physically, emotionally, mentally, and spiritually available for a lot of physical and energetic movement and diving into deep emotional and spiritual spaces each day?
*
Do you agree to take responsibility for your physical, emotional, psychological well being during the gathering, and understand that our staff are not qualified medical nor mental health practitioners and that this is a group process and not a private healing space?
*
Have you been diagnosed with any physical or mental illnesses or PTSD/CPTSD? If yes, are you in a safe, supported, and stable space within this?
*
(Your response is confidential and helps us to know how we can best support you.)
Are you currently taking any medications?
*
(Again, this helps us know how we can best support you in a safe way.)
Do you have any physical or psychological illnesses or injuries that may impact your ability to be fully present and engaged in all of our practices?
*
(Please note, this event requires full participation. If you're unable or unwilling to attend all of our practices, an online course will be a more appropriate option.)
Do you anticipate being pregnant during this retreat?
*
(Some of our movement practices are contraindicated with pregnancy but we can provide you with safe alternative movements during these sessions.)
Do you have any concerns about organizing your travel in order to reach our retreat center?
*
(We will provide you with a full travel planning portal as well as a private group for all participants to ask questions.)
Do you have any fears or hesitations about joining us for this workshop? If yes, what are they?
*
Are you prepared to confirm your space with your payment?
*
(Program fee due upon registration, room and board due by September 1st. Payment plans are offered by partners and may not be available in all locations outside the USA.)
Do you agree to our Terms and Conditions? www.earthdaughters.org/retreat-terms-conditions
*
If you have questions or concerns about any of these terms, please explain below.
At the end of this gathering, what would signify for you that you received what you came to receive?
*
Is there anything else you'd like me to know?
*
