— August Creative Immersion —
Registration Form

Welcome! I’m so delighted to share the Creative Immersion Retreat with you!

*Please note that this form does not auto-save your responses — if you’re not completing it in one sitting, I recommend working on your responses in a separate document.

Name

First Name

Last Name

Pronouns

Email

What is most calling to you about this time together?

What projects might you want to focus on during our Retreat?

What days will you be attending?

Our full three days

Just Saturday

What pricing tier and payment cycle is best for you?

I'll follow up with our initial invoice, due upon receipt to save your spot.

Abundant grazing boards and coffee/tea will be provided each day. We'll have a gorgeous, nourishing dinner on Saturday night. Please share any dietary needs and access needs:

I understand that full payment is required, even if I am unable to attend, and that refunds cannot be provided. If I’m unable to attend I can receive two 1:1 mentorship sessions with Anya.

I understand and agree!

I have questions and would like to talk more about this.

I agree to take a Covid test 24-hours prior to our Retreat.

Absolutely!

Yes, and I'd like a Covid test to be provided

Anything else you'd like to share or want Anya to know before we gather?

— August Creative Immersion —Registration Form

— August Creative Immersion —
Registration Form