Retreat Inquiry ( Test ) - KAREfarm

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This field is for validation purposes and should be left unchanged.

What would you like to do?(Required)

Receive information on upcoming retreat dates

Ask a question(s) about retreats

To participate in a Grief Retreat, guests must be over the age of 18. Check the box to confirm you are over 18 years of age.

I am over the age of 18.

Name(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

What is your preferred method of communication?(Required)

Phone Call

Text Message

Email(Required)

Phone Number(Required)

Which retreat dates works best for you?(Required)

Choose the date(s) that work with your schedule. If the retreat is FULL, we will add you to the wait list. NOTE: We work individually with you to ensure your retreat experience is the most beneficial, including grouping you with people who have experienced similar losses, when possible.

Testing September 18-20, 2026 (Waitlist Only)

Testing September 25-27, 2026 - Spouse/Partner Loss (Waitlist Only)

Testing October 2-4, 2026 - Child Loss (Waitlist Only)

Please share a brief summary about your loss.(Required)

We know this really is a hard part of the process, but we would like to make sure that you are supported in the best way possible during your retreat. Please include who you lost, the date of their passing/how long you lost your loved one, and any other information about your story that you think would be important (including any significant life events since your loved one's passing).

Would you like to bring anyone to support you during the retreat?

This could be someone helping you through your grief or someone experiencing the loss as well. If so, please list the person's name and their relationship to you. Attendance at a retreat is limited to individuals 18 years or older.

Let us know any questions you may have.

How did you hear about us?(Required)

Facebook

Instagram

A friend referred me

Website

Other

Please explain(Required)

Waiver(Required)

I understand that as a guest of a KAREfarm retreat, retreat leaders are not trained counseling professionals, and that the sole purpose of attending this retreat is to simply find community and support in this grief journey in nature. I give my consent for use of any photographs taken during retreat activities. I also understand that by confirming a spot at a weekend retreat, KAREfarm is committing resources to make this happen and I promise to attend. Finally, I understand that this event is free of charge. To help as many people as possible, I agree to provide no less than 2 weeks notice so that my spot can be filled if I cannot attend.

Retreat Information / Registration Testing

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