Campfire 2025 Application

We’re so excited you would like to attend Wildfire’s first-ever retreat. To keep our group intimate, we are inviting 12 writers to attend. Please help us get to know you and what you are hoping for in a Wildfire retreat.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred pronouns

Year of diagnosis/diagnoses?

Age at Diagnosis

Stage of diagnosis/diagnoses

Type of diagnosis/diagnoses

Are you in active treatment?

If you'd like, please share with us how this affects you (i.e. medication side effects, diet restrictions, etc.).

Have you participated in a Wildfire writing workshop? Which one(s)?

Select all that apply.

Free Pop-Up

Sparks

Fire Starters

Other

If you selected other above, tell us which one.

Are you hoping to attend with a Wildfire community friend? If so, what is their name?

We will do our best to allow friends who submit applications to attend together, but we cannot guarantee this.

Why are you interested in attending this retreat?

Have you participated in other cancer support programs (in-person or virtual), besides Wildfire Journal? If so, which one(s)?

Please note: Applications close May 8th. Don’t book travel arrangements until we have confirmed your spot at Wildfire’s Campfire.