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Practitioner Path Application

Wild Ivy - Integral Practice House

Practitioner Path Application

VUT/AL/14446

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Practitioner Path Application

This application is for trusted, self-directed practitioners engaging Wild Ivy as a living dharma environment, who want to come for solo retreats or dharma residencies on €15/day rate.

The Practitioner Path acceptance process is as follows:

Support Wild Ivy field via membership (€15/month or above),
Complete the Practitioner Path Application (form below),
Have a short 1-on-1 call with the host to clarify community agreement.

How Practitioner Rates Work

Practitioner Rates apply outside scheduled events and retreats.
Bookings are made personally via email (wild.ivy@posteo.net).
Practitioner eligibility is valid for 5 yrs with active membership.

This process is to uphold a mutually respectful and aligned field of practice at Wild Ivy, while keeping the membership clear and fair.

A: Applicant Information

First name*

Last name*

Email*

Phone

Active Membership*

Start Date

Day

Month

Year

Have you read the Wild Ivy Membership Terms and understand the distinction between Supporting Members and Practitioner Members?

B: Practice Background

Please share a brief overview of your dharma background (tradition, teacher, years of practice).*

What tradition(s) or lineage(s) do you practice within?*

Who is your guiding teacher, mentor, or primary influence?*

Describe your current practice and what themes or questions are alive for you.*

Have you done retreats before, and how do you imagine your rhythm of practice at Wild Ivy?*

What do you hope to cultivate through your retreat or residency at Wild Ivy (Practitioner Path)?*

What inner themes or challenges are you currently working with in your practice?*

How do you relate to the values of silence, service (samu), and community?*

C: Residency & Retreat Plans

What type of stay are you considering?*

Solo retreat (under 1-4 weeks)

Residency (1 month or more)

Long-term Dharma Resident (3+ months)

How often do you anticipate returning for practice stays (e.g., once a year, quarterly, etc.)?

How do you feel about participating in shared practice and community work (samu)?

D. Health & Safety

Any medical or mental health information relevant to your stay? (confidential)*

Dietary preferences or restrictions

Do you smoke or use recreational substances?

Yes

E. References

Personal reference (name, relation, contact)*

Teacher or mentor reference (optional)*

Upload CV or short bio (only for longer residency)

F. Acknowledgments & Consent

I understand the Practitioner Rate system and booking process.

I have read and consent to Liability Waiver https://tinyurl.com/wildivyliabilitywaiver

I consent to my data being stored and administered by the Wild Ivy host according to GDPR (*up to 3 years)

Signature

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Wild Ivy House

Velèz-Blanco, 04830 Andalusia, Spain

Tel: +34 722613322

wild.ivy@posteo.net
VUT/AL/14442

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Practitioner Path Application

Wild Ivy - Integral Practice House Practitioner Path Application VUT/AL/14446

Practitioner Path Application

A: Applicant Information

B: Practice Background

C: Residency & Retreat Plans

D. Health & Safety

E. References

F. Acknowledgments & Consent

Wild Ivy - Integral Practice House

Practitioner Path Application

VUT/AL/14446