Wild at Heart

Yoga & Dance

Retreat Application

Are you ready to SOAR?

If yes, I invite you to take your time to complete this application.

Allow your Heart to guide your answers. No holding back.

Be true to You.

These deep immersive Womens' Retreats are truly transformational experiences, not for the faint hearted.

As the Wise, Wild Womens' Retreat is an exclusive offer, Holly will contact you after receiving your submission to let you know if you're in and how to book.

Any questions - Contact Holly (+61) 403193019 or 0403193019

Email-wildatheart@hollycarter.com.au

First Name

Last Name

Your best Email

How clearly do you hear the messages from your Wise, Wild Heart?

Are you connected to your physical body? Do you honour it with self love?

Yes, about 95% of the time

Sometimes, I feel totally aligned.

No, but I'm ready to change.

I feel completely disconnected and out of alignment

Are you currently living a life aligned with your authentic Self?

If not, what do you feel needs to shift for you?

Which feminine archetype do you connect with the most?

Maiden - pure and innocently heart open

Huntress - eagle eyed and ready for whatever comes her way

Divine Mother - fiercely feminine and flowing

Wise Crone - connected deeply to the sacred wisdom within

The Queen - in touch with your sovereign power, grace and authentic Essence

Unsure

All the the above. I've aligned all elements of my femininity.

Are you a new or existing customer with Wild at Heart Yoga and Dance?

I am a new customer

I am an existing customer

Have you experienced a Womens Yoga retreat before?

Yes

What is your Yoga experience?

Never

Occasionally

Weekly classes

I teach Yoga

Do you currently practise meditation?

Yes, I have a daily practise

I practise sporadically

Yes, once a week

I've considered it but haven't tried it yet.

What would it mean for you to be aligned with your Wise, Wild Woman?

How ready are you to walk your authentic Soul aligned path?

Completely

My Heart says "YES" but my head is asking WTF does that mean???

Unsure

If there anything else you'd like to share with Holly?

I want to subscribe to the newsletter.

I honour your trust and the desire to know yourself on a deeper level.

The Soul path.

Thank you for completing this form. I will be in touch shortly.

Please know that all the information here will be kept private and confidential

My Heart to yours,

Holly x

Wild at Heart

Yoga & Dance

Retreat Application

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