Forest Therapy Guide Training Retreat | Medomak Retreat Center

Forest Therapy Guide Training Retreat

Medomak Retreat Center | August 2026
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.*
Please list any dietary restrictions here: dietary restrictions*
Program Agreement

Date and Location: August 25-30, 2026 at Medomak Retreat Center in Washington, ME.

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*

Clear
Date*

MonthDayYear
Date
Should be Empty: