APPLICATION Name * First Name Last Name Email * Wake Your Wild Heart Application * This is your invitation to be in a space where there is room for exploration, connection, alignment, and joy. What about this retreat called to you? What are you hoping to receive during our time together? Have you ever worked or practiced with Brittny Manos? Yes No Do you feel comfortable sharing space with others you may not know? Yes No What is your relationship with being in nature? Are you okay with being in nature with possible rain, muddy terrain, insects, and hiking? Are you comfortable with shared accommodations? And what accommodation would you want to reserve? Bring a friend with you! I am comfortable with shared accommodations. I am not comfortable with shared accommodations. I plan to bring a friend to share accommodations. Shared King Bedroom with Private En Suite Bathroom Shared Queen Bedroom with Private En Suite Bathroom Full Bed (Bottom Bunk) and Twin Bed (Top Bunk) Accommodation Private Queen Pull Out Sofa Bed Accommodation Thank you! If the Wake Your Wild Heart Retreat is calling to you, apply now and experience the magic.