Merry Mushwomb!
Application for Participant Registration
We invite Mystics, Midwives & Merrymakers! Thank you for being interested in Merry Mushwomb! It is a 4-day Ceremonial Retreat into the Gaian medicines of the Fae and Dragonlines of ancient Appalachia.
Please be patient with us as we lovingly review each application. We will respond to your application within a week from now, and appreciate your calling to be here with us. Many blessings on your path.
Name:
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First Name
Last Name
E-mail
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Age
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Magical Lineage / Training
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Do you want to be a long-term student in Song of Sophia?
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What inspires you about the MerryMushwomb Retreat?
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What is your current relationship with the Mushrooms?
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What do you hope to receive during the retreat?
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Have you worked with Eliza or Julia before? When?
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Do you have any health concerns?
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Payment Options
Please take note that all scholarship positions have been filled. Thank you!
Which tier of accommodation do you desire?
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Shared Accommodations with single beds ($1500)
Camping ($1000)
How do you plan to pay?
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One Payment
Payment Plan including fees; all paid by September 10th
Do you understand that although we are practicing trauma-informed shamanic journey techniques that this retreat is not a replacement for trauma therapy. If you are working through significant trauma, this retreat is not for you.
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I understand
I might not be a fit for group ceremony at this time
Please select which of the following you have to help support your transformative experiences
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Supportive household and family life
Supportive partner
Supportive friends
Wise women community
Good relationship with a plant-informed shamanic support
In active therapy that has been successful
Strong self of self with the plants
Are you on any medications?
Anything else we should know?
Are you local to the retreat area?
No, I need a ride from Earth Fare (retreat carpool location)
No, but I will provide my own ride to the retreat center
Yes, I have my own ride
Yes, I will catch a ride with a sister
Do you understand that we require all participants to provide their own travel insurance? In an emergent (unlikely) event that the retreat would be cancelled, we would not be able to cover all costs paid. Therefore it would be the responsibility of your own personal travel insurance to provide any financial losses that we would not be able to return due to unforeseeable or uncontrollable losses. Insurance can include airfare, housesitting, childcare, and other non-refundable things on your end. (TravelGuard is a reliable, easy, and cost effective option)
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I will provide my own insurance
No, but I understand the risk and do not expect you to refund me. I am willing to take the risk without insurance.
We recommend arriving at least 1 day earlier to Asheville before the morning of September 28th to settle in to the altitude and energies of the land. We pick up all participants on Sept 28 at 12pm at Earth Fare in Asheville and departure is on Oct 1st for a 3pm drop-off at the same place. Earth Fare is about a 15 minute drive or Uber ride from the airport. The retreat is another hour from EarthFare. Do not book travel arrangements until you are guaranteed a place in the retreat.
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Please Select
I understand
Submit
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