Name
*
First Name
Last Name
Email
*
Join our Email Lists?
Check any you want to subscribe to.
Our Wellness and Liberation
Boundless Love Project
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Why do you want to attend this retreat?
*
What are you struggling with as an advocate? What are you hoping to get out of the retreat?
Tell us about your activism.
*
What groups do you work with? What issues do you work on? How do you serve animals? How much time do you devote to animal advocacy? We want to make sure retreat spots are given to people active for animals.
Demographics
Describe your age, race, gender identity, sexual orientation, economic class, national origin, or anything else you think is relevant. We prioritize giving spots to people from historically underprivileged communities.
Please list the other people who you will be attending the retreat with.
If one of your group is accepted, we will do our best to accept all of the members in your group. This info will also help us determine room assignments.
Emergency Contact Name
*
Who do you want us to contact in case of an emergency?
First Name
Last Name
Emergency Contact Phone Number
*
(###)
###
####
Medical Experience
Check those boxes that are true.
I am a medical professional.
I may be willing to assist anyone at the retreat who needs emergency medical assistance.
Ride Shares
Help us coordinate ride shares by checking whatever applies to you.
I may be able to offer a ride to others.
I need a ride.
What kinds of self-care do you do well and consistently?
What self-care aspects do you feel need improvement?
What songs make you want to dance?
Please list the name of the song and artist who sings it. List up to five songs.
In my life, I regularly feel:
anger, bitterness, and hatred
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
sadness, overwhelm. and despair
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
frustration, impatience, fear or anxiety
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
tired, lethargic, or exhausted
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
kindness or connection with others
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
peace, ease, or tranquility
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
joy or happiness
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
compassion or tenderness
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
grateful or appreciative
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
alert or energetic
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Your Priorities
This wellness retreat will try to address several aspects of wellness. Please check which types of wellness you are most interested in learning about.
Emotional health
Physical health: sleep
Physical health: exercise
Physical health: diet
Mental health
Social health with other activists
Social health with society at large
Social health with opponents
Spiritual health
Food Needs
We will provide simple, wholesome, vegan meals. What special food requirements do you have due to food allergies and intolerances, or other health concerns? The more specific you are, the better we will be able to serve you.
Childcare Needs
At this time we do not have the capacity to offer child care. However, we want to make this event as accessible as possible. If there is a need, we will see if we can meet it. Please check all that apply:
I am interested in on-site child care.
I need there to be on-site child care in order to attend.
Other Needs
Do you have any other needs not yet mentioned?(examples: wheelchair accessibility, other mobility needs, medical needs, scent-free space, etc.)
Photo, Video, and Audio Consent
We will be taking photos, and possibly video and audio-recording parts of the event. These may be used to share the information provided by speakers and panels, report on the event, promote future retreats, or for other worthwhile purposes. We appreciate your consent, as it will make our live easier, but it is up to you.
I agree to have my photo, video, and audio taken at the retreat.
I can attend the whole retreat
*
Can you pledge to be at the retreat from 4:30 PM Friday, June 28- Sunday, June 30 at 3 PM?
I will attend the whole retreat.
I may have to miss some of it. (Please explain below.)
I will have to miss some of it. (Please explain below.)
Explain Details
If you cannot pledge to be at the retreat from 4:30 PM Friday, June 28- Sunday, June 30 at 3 PM, please tell us how much of the retreat you will be able to attend, or what might interfere with attending the whole thing.
I will behave skillfully.
*
During the retreat, I will:
• Abstain from killing and harming living beings.
• Abstain from stealing or taking what is not given.
• Abstain from sexual activity.
• Abstain from false, malicious, or harsh speech.
• Abstain from illicit drug use and drunkenness. (Prescription drugs are fine.)
I agree to follow this code of conduct.
If accepted, I will send a $50 check to finalize my registration. This check will be returned to me at the retreat.
*
Space is limited at this retreat. In an effort to prevent no-shows, we require you to agree to the following:
If my application is accepted, I understand I will not be officially registered until the Boundless Love Project receives a $50 check from me to hold my space. This check will not be cashed and will be returned to me at the retreat.
However, if I do not show, this check will be cashed to reimburse some of the estimated $150 spent for me to attend.
If you do not have a checking account, cash or a money order is acceptable. We will return the cash or sign over the check to you at the event.
If accepted, I agree to send a $50 check to the Boundless Love Project that will be retuned to me at the retreat provided I show up.
I will tell organizers if I cannot attend as soon as I know.
*
If I am accepted to attend, and something comes up that will prevent me from participating, I will inform the OWL retreat coordinators as soon as I know to help ensure another person on the waitlist can take my space.
I agree to tell organizers if I cannot attend as soon as I know.
I will volunteer for a few hours at the event.
*
To ensure a pleasant and smooth running retreat, I understand I will need to volunteer a few hours of my time to help with: meal preparations, dish washing, vacuuming, sweeping, cleaning the bathrooms, or some other necessary task.
I agree to volunteer for a few hours at the event.
I understand that submitting this application does not register me for the retreat.
*
This application will be reviewed and you will be emailed to notify you if you are approved, not approved, or put on the waitlist.
I understand that submitting this application does not register me for the retreat.
Comments
What else do you want us to know?
Thank you for applying to attend the OWL Retreat for animal advocates. If you applied before midnight on April 30, we intend to notify you by May 15th on the status of your application.
We appreciate your loving desire to care for your emotional, mental, and physical health. Because self-care is so important, we have created a list of resources to help you and your activism be healthy, sustainable, and effective! We hope you find resources on it that will start benefitting you now.
Check out the resources by clicking on this link: Helpful Resources for Animal Activists .
Wishing you peace, love, joy, and success in your efforts to create a kinder, more compassionate world for all life.
Sincerely,
All of us at Our Wellness and Liberation and the Boundless Love Project