Intake Form

Name
First Last
Email
Website
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Description of piece/project you want help with (250 words or less)
Goal for this project
Two habits that currently support your writing life
Two things you’d like to change about your writing life
Two things you’d change about your writing
Two authors whose books you’d take on a writing retreat
Write a 100-word response to “My ideal writing guide would . . . ”
Send me up to 500 words of your writing

Shape Your Ideas
Into Stories.

Feeling stuck?
Get 5 Fiercely Kind Word Prompts to start shaping your ideas into stories.

3 levels of engagement
to help you awaken your inner writer and honor yourself as a writer.