Forest Therapy Guide Training Retreat | Medomak Retreat Center

Name as you would like it to appear on your certificate:

First NameLast Name

Emergency Contact Name and Phone Number:

Name and Phone Number

Class Roster: To help build community, we'll be giving out a class roster with everyone's email. Do we have your permission to include your email address?

Photos: We may occasionally take photographs of you and the group during the retreat. We will share these with the group. Additionally, we would like your permission to use these photographs in promotional materials which may include social media, website, printed flyers and books, and videos. Please let us know your photo preference below. We want you to have a relaxed and stress-free experience during this retreat.

How did you hear about The Forest Therapy School?

Please list any dietary restrictions here: dietary restrictions*

Program Agreement

Date and Location: April 28 - May 1, 2027 at Brandywine River Hotel in Chadds Ford, PA and Longwood Gardens in Kennett Square, PA and Winterthur Museum and Gardens in Winterthur, DE.

You are responsible for your own well-being and safety at this retreat.

I acknowledge that outdoor activities in natural areas entail known and unanticipated risks that could result in injury.
I agree and will accept responsibility for my own safety and well-being during this training.
If I have a medical or mental health condition that I think the instructors should be aware of, I will inform them prior to the start of the program.

I have read the program syllabus and the program agreement and agree to their terms.

Signature

Date