Wild Feminine RetreatPractitioner Questionnaire Name * First Name Last Name Email * Website http:// What is your training background in the modality you are presenting? How long have you been teaching your modality? How many days/nights will you be attending? Do you have liability insurance? Will you need the sound system access to play music? Yes No Do you have any food allergies? Do you have a student limit for how many people can attend your class? Does your class need to be in the day or evening, or can it be either? Do you need support in any way before/during/after class? Do you have any medical conditions (kept in confidence) that may prohibit your participation in this event? Will you be willing and available to substitute for another practitioner if needed? Have you ever been convicted of a crime or felony? Are you willing to share your room/bed accommodations with another practitioner? Do you have an "About Me" section on your website to use in retreat information? If so, please link. Thank you!
