The First Time I Felt Free – Expression of Interest Form

This form is an expression of interest and does not guarantee your place in the retreat. As spaces are limited, you will be invited to participate either in person or online.

091 565 985

For confidential support, call our Domestic Abuse Support Line (24/7).

Complete the Form

This retreat was created for women who are over 18 years, who have left an abusive relationship and feel ready to reflect on their journey.

"*" indicates required fields

In order to proceed with your submission please confirm the following to be true.

SELECT ALL OPTIONS THAT ARE TRUE TO YOU.*

I am 18 years or over.

I have left an abusive relationship.

I feel ready to reflect on my journey.

Recovering from the trauma of being abused by someone you once loved and trusted is a long process and it may take months and even years. With this in mind, please consider if this is the right time for you to engage in this work.

In a couple of sentences please share why you are interested in joining this retreat.*

Name*

First Last

Email*

There is an in-person event is on Saturday 13 June and an online event on Thursday 25 June.

How would you prefer to participation in the retreat?*

In Person on June 13 (Creative Writing & Photography)

Online on June 25 (Creative Writing Only)

Both Events

Do you need a translator?*

I do not need a translator

Yes, I will need a translator

What language translator do you need?*

This form is an expression of interest and does not guarantee your place in the retreat. As spaces are limited, you will be invited to participate either in person or online.

The First Time I Felt Free – Expression of Interest Form

091 565 985

Complete the Form

In order to proceed with your submission please confirm the following to be true.

091 565 985

For confidential support, call our Domestic Abuse Helpline (24/7).