Name *

First Name

Last Name

Phone

(###)

###

####

Do you plan on attending the Motherhood Gathering or just offering Therapy and staying offsite? *

I will love to be a part of the whole 4 day gathering- half price admission ticket- stall fee complimentary- $390

I would like to come only to do my Therapy and do not wish to participate in the Gathering as a whole- I have accommodation offsite- $240 2 days

If approved, I will provide the following within 7 days *

All requirements must be fullfilled to confirm your spot

Pay therapist fee or half price gathering ticket

High resolution, front facing image

Public liability insurance

IMPORTANT INFORMATION, PLEASE READ THOROUGHLY- Approved therapists are excited to cross promote our event and may use approved imager/posters/photographs which can be emailed or sent to you on social media. We are an eco friendly event. Please use organic or reusable materials, no single use plastic or plastic packaging. Our event is 'leave no trace' please take all your rubbish with you. Each approved therapist will be part of our Zen Zone. You will be allocated a 3m x3m space (can be negotiated upon request). Applicants must provide their own gazebo/bell tent, gazebo weights, massage tables, seating, towels, tables, styling décor, signage etc to be self sufficient and hygienic- there is no power available. All approved applicants will take full responsibility for the security of their stall during the whole event. Therapists MUST be able to trade at least 7 hours on Friday & Saturday – Sunday or evenings is at your own discretion but must be pre arranged. If you have your own booking and payment system in place, please provide a link where attendees can prebook their space. We anticipate therapists will book out fast! Applications close on the 1st February and will be responded to no later than 10th February. Therapists believe in the ethos of the Motherhood Gathering and promise to conduct their offerings with the upmost amount of care, respect and integrity. They are proud to be part of this soulful event and will want to share it within their networks in order to build a close and aligned community that represents inclusion, growth, love & joy. Full terms and conditions will be sent via email upon approval of application. *

I have thoroughly read the above and agree to these terms

Wild Within is a safe, inclusive space and welcomes all women & children, regardless of race, religion, age, sexuality or medical status. Do you agree to be inclusive, gentle, thoughtful & open? *

Of course, I come with an open heart & mind