Application Form - Step 1
This form is to apply for the Retreat : Embodied Feminine Leadership, from 17-19 March 2023, with Georgina and Marija.

This form is confidential and will only be read by Georgina and Marija. We ask these questions in order to feel whether this Immersion is a good match for you and your objectives / motivation, to take care of you and prepare a programme that is adapted to your needs as best we can.

Once we receive your form we will be in touch to confirm your application and, if accepted, with details of how to pay and prepare for the retreat. Please give us a few days to respond. Thank you. 

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Email *
First Name *
Last Name *
Telephone *
What is your deep motivation to participate? And what would you love to experience or get out of this experience? *
What aspects of "embodied feminine leadership" (your own understanding of this) do you feel are already integrated or accessible to you naturally? *
What aspects of "embodied feminine leadership" challenge you? *
Do you have any physical ailments or injuries at the moment? *
Are there any significant life events (past or current) that may impact your behaviour patterns / reactions / emotions / relating with others that we should know about (trauma, death, illness, separation, shock, addictions, abuse...) to support you and the group field ? *
Please inform us if you have or have had any significant mental health challenges in your life. We ask this in order to take care of you. *
Do you have any medical conditions or take any medications that we should be aware of?  (for instance anti-depressants can affect normal emotional response) *
Do you have any food allergies / intolerance ? *
Which room type do you prefer? (in brackets price for lodging not including facilitation) Depends on availability. *
Anything else we should know about? Or do you have any questions for us?
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