Word and Wind: A Yearlong Writing Cohort

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1 Welcome

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$1,500.00 – Base rate for the full program, reflecting our true costs.

Guests

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$1,800.00 – Sponsor Rate

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$1,200.00 – Subsidized Rate

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$1,000.00 – Subsidized Rate + request for additional scholarship

Guests

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City *
State/Prov. *
Zip/Postal *
Country *
Gender *	Primarily used to pair roommates when applicable.
Access Needs *	In other words, what can we do so that you can show up at your most brilliant and joyful? For example, do you need a room on the same floor as the meeting room because stairs are difficult for you? Do you need access to a bathroom with grab rails, or sign language interpretation? etc
Dietary Needs *
Dietary Notes
Requested Roommate	Most rooms are double occupancy and depending on attendance you may have a roommate. Do you have someone you would like to room with if possible?
Tell us a little bit about your work or put in a short bio. *
What draws you to this cohort? *
What writing project(s) are you hoping to work on this year? *
What writing and/or publishing experience do you have? *	You do not need any writing experience to join this cohort, but we are gathering information about the collective wisdom we’ll share.
Do you have any conflicts with the scheduled dates? *
Pledge to Care *	I commit to practicing community care by testing negative for COVID before coming to Kirkridge and adhering to the Pledge to Care found at the link below.Pledge to Care
What is your race/ethnicity?	We ask because it helps us ensure a diverse group of participants.
Do you identify as LGBTQ+?
Do you identify as a person with a disability?
What age group do you fall under?	18-30 31-40 41-50 51-60 60+
Comments or Other Needs
Email newsletter	Please send me the email newsletter

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$	General Fund Donations to the General Fund help us tend to these buildings and land, pay our incredible staff, and offer abundant and generous hospitality.
$	Equity Fund In recognition of the racial wealth gap, our Equity Fund allows us to provide additional scholarship assistance to Black, Indigenous, and People of Color retreatants; partially subsidize retreats for movement organizations led by Black, Indigenous, and People of Color; and make changes to create a more welcoming environment for BIPOC attendees.

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*