What is your name?

What pronouns do you use?

What email is best to directly contact you?

What is your age?

What would your intention be for the Wild Heart Writing Retreat in Bacalar?

What is your relationship to writing?

What is your relationship to Mirabai's work?

Do you have any physical or psychological health concerns that are important for us to know about?

Unfortunately, our writing retreat in Bacalar may not be feasible for all bodies due to the physical demands. Travel to Bacalar can be extensive. Also, Bacalar is at a resort that has uneven ground and requires walking between your room, the gathering place and to eat. Our writing retreat also includes a field trip to see ruínas which requires walking. Please let us know what mobility challenges you have and how you plan to navigate these terrains safely.

What financial circumstances are you in?

How much are you able to pay for the retreat?

Do you self-identify as BIPOC (Black, Indigenous, Person of Color)/Person of the Global majority?

Do you self-identify as LGBTQIA+?

Please submit a SHORT piece of your writing (3 pages or less).

It is the highest priority for us to hold a container that welcomes the many expressions of our human family and tends to the current climate of the world, making space for many diverse viewpoints around tender and personal topics. This will be a space that is committed to anti-racism that enthusiastically celebrates the spectrum of human sexuality, gender expression and all spiritual traditions. Knowing this, what comes up for you?

Do you have a website or social media? If so, please share:

Is there anything else you want us to know?