KAREfarm Guest Form
Thank you for your interest in a KAREfarm retreat, located on WhiteTail Ridge Farm in Brooksville, KY.
Our Mission: To provide a healing space in nature for those experiencing loss.
Our retreats are led by grief support leaders, who have experienced grief as well. Each retreat includes sacred stories, workshops to process grief, individual time, and small group discussions designed to promote healing on your grief journey.
We appreciate you taking the time to fill out this form so that we might better serve you!
Area Code and Phone number
City, State, Zip Code
Please share a brief summary about your loss. (We know this really is a hard part of the process, but we would like to ensure you are assigned to the retreat that could best support your journey.) Please include who you lost, the date of their passing, and any other information about your story that you think would be important (including any significant life events since your loved one's passing).
Type of retreat I am most interested in (if you are flexible, please check all that apply)
Bereaved Mothers Retreat
I am interested in the Bereaved Mother's Retreat, and would like to bring a female support person.
Bereaved Couples Retreat
Bereaved family of a veteran
I am flexible about any retreat, I would just really like to attend.
The following describes the month of retreat you are most interested in during the year 2021 (if you are flexible for any months, please check all that apply)
What questions do you still have?
How did you hear about us?
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.
A copy of your responses will be emailed to the address you provided.
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