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Wild at Heart

Yoga & Dance

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Retreat Application

Are you ready to relax and surrender into Soul nurturing.

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.

As the 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? * Required

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? * Required

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? * Required

I am a new customer

I am an existing customer

Have you experienced a Womens Yoga retreat before? *

Yes

No

What is your Yoga experience? * Required

Never

Occasionally

Weekly classes

I teach Yoga

Do you currently practise meditation? * Required

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? * Required

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?

How did you find me? * Required

Google

Facebook

Instagram

A friend

Email

Other

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

We acknowledge the Worimi people as the traditional custodians of the land where Wild at Heart provides services.

We acknowledge their continuing connection to the land, waters and community.

We pay our respect to the people, the cultures and the Elders past, present and future.

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CONTACT US

wildatheart@hollycarter.com.au

Port Stephens NSW, Australia

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© 2021 by Wild At Heart Yoga & Dance.

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