Dingle 2027 Retreat Application Form
Wild Soul Pilgrimage guiding you home to the truth of who you are.
1. Your Name
*
First Name
Last Name
2. Your Email Address
*
example@example.com
3. Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
4. Emergency Contact Name (Someone who can be contactable in the event of an emergency when you are on retreat in Dingle Ireland from 26th May - 2nd June 2027)
*
First Name
Last Name
5. Emergency Contact Email Address
*
example@example.com
6. Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
7. What are your primary intentions for wishing to join the Dingle Ireland Retreat 2027 Wild Soul Pilgrimage?
*
8. What would you hope to achieve from a Wild Soul Pilgrimage to Dingle Ireland in 2027 with Eimear Stassin and The Irish Wisdom School?
*
9. Do you have any particular dietary requirements, health needs or mobility issues that we need to be aware of to ensure you have the most comfortable and transformational time in Dingle?
*
I wish to be part of a small intimate group of people to retreat to Dingle Ireland in 2027 in the fullness of my own self-awareness, my needs and those of the group - please add your signature below.
*
Submit
Should be Empty: