Wise Choices: Path to Healing Women's Retreat

Attendee First & Last Name:*

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Attendee Phone Number:*

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Attendee Mailing Address:*

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Emergency Contact First & Last Name:*

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Emergency Contact Phone Number:*

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Do you have any dietary restrictions or food allergies?*

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Retreat Participation Agreement

By signing below, I agree to the following:

Confidentiality Commitment

I acknowledge that this retreat is a safe and private space for all attendees.
I will not share personal stories or information discussed during the retreat outside of this event.

No Photography or Recording Policy

To respect the privacy of all attendees, I agree not to take photos, videos, or audio recordings during the retreat.
Any violation of this policy may result in my dismissal from the retreat.

Respect for Others

I will respect the personal boundaries, experiences, and healing journeys of all attendees.
I understand that this is a judgment-free environment and commit to fostering a space of compassion and support.

Attendance & Participation

I confirm that I will arrive on time and remain present throughout the scheduled sessions.
If I am unable to attend, I will notify the event coordinators as soon as possible.

Health & Safety Acknowledgment

I understand that this retreat is not a substitute for professional counseling or therapy.
If I experience emotional distress during the retreat, I will seek support from the event facilitators.

Attendee Signature:*

Date:*

Date

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