Grief Retreat October 4-5, 2025
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact Person
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Please say a few words about reasons why you are coming & what you would like to get from your grief retreat
Please select which retreat option you would like
October 4 One day option - $325, 2 Workshops & light breakfast & gourmet lunch
October 4-5 Overnight option - $425, 3 workshops, 2 light breakfasts, 1 gourmet lunch & 1 gourmet dinner
If you have chosen the overnight option, please choose your preferred accommodation which will be first come first serve based on the time of your registration. If you would like to see some photos of the accommodations at Wild Grounded Retreats please check out www.wildgroundedretreats.ca. The accommodations are modern/rustic and communal. If you are someone that needs your own quiet place to retreat to, you may prefer to bring your own tent. There are extra tents available if you would like to tent however don't own one. All beds are provided with a mattress protector and fitted sheet. You will need to bring your own sleeping bag/comforter and pillow. Please note that the Bunk House does not have an attached bathroom, however an outhouse is nearby and you will also have access to two bathrooms in cottages just beside - the Beach House and The Jack Pine Hut. Please contact me by email if there is nothing here that suits and maybe I can accommodate you. (Wildgroundedretreats@gmail.com)
Bunk House Bottom Bunk
Bunk House Top Bunk (Choose this only if you are physically able to safely climb a ladder)
Bring my own tent
Borrow a tent
(No Longer Available)Jack Pine Hut Private Room with Twin bed (reserved for someone coming who uses a CPAP machine)
(No longer available)Jack Pine Hut Private Room with Double Bed (reserved for someone coming with a CPAP machine, or coming with a friend and would like to sleep together or needs to be close to a bathroom at night)
Jack Pine Hut Pull Out Couch #1 (reserved for someone who has a CPAP or needs to be close to a bathroom at night)
Jack Pine Hut Pull Out Couch #2 (reserved for someone who has a CPAP or needs to be close to a bathroom at night)
Please list any dietary restrictions, allergies or preferences
Would you consent to your email being included in group emails to all registered participants?
Yes
No
Wild Grounded Retreats is a safe place for being vulnerable and opening up about what you feel and also realizing that you are not alone. Please indicate that you agree to keep information shared with you by others during this retreat confidential by stating "Yes I agree" in the box below
Regarding consent for pictures taken during the retreat, please select the statement that best reflects your preference.
No pictures of me please
I would be ok with pictures being taken to be used to create a slideshow that will only be shared with fellow participants
I am comfortable with photos being taken and posted to social media for the purpose of marketing Wild Grounded Retreats
The cost of one day option is $325. Overnight option is $425, a non-refundable deposit of $50 can be made now to secure your spot, full payment due by September 20. Please e-transfer to wildgroundedretreats@gmail.com
Submit
Should be Empty: