Wildland Firefighter Wellness Initiative 02/22
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Thank you for your interest in joining our retreat this coming February 12-18, 2022. This 7-day retreat is for the firefighter who is looking to go inward, give themselves rest and rejuvenation and lend their skills to support the Costa Rican rainforest. Our program seeks to address how the demands of our job show up in our daily lives and provide practices that nourish mental, physical and emotional health.​ Join us to learn tools for anxiety, nervous system recovery, chronic stress, and healthy coping strategies that help support the innate resiliency of wildland firefighters. This retreat is facilitated by wildland firefighters for wildland firefighters. ​$2,000 for 7 days, all inclusive. Full or partial scholarships available.
Name *
Phone *
Emergency Contact Name & Phone Number *
How many seasons have you been involved in firefighting? *
What crew/base are you coming from? *
What are some of the challenges you are experiencing related to your work? *
What are some of the challenges you are experiencing outside of your work? *
What kind of support do you have to address the challenges you have experienced? *
Why are you interested in attending this retreat? *
What are you most looking forward to about participating in this retreat? *
Do you have any concerns or apprehensions about participating in this retreat? *
Are there any specific fires that have had a more significant impact on you? If so, in what way? *
Do you have any experience with spiritual or mindfulness practice? (Note: this is not a requirement to attend). *
Describe your relationship to self-care. What does self-care mean to you? *
Can you identify any habitual patterns of alcohol and recreational drug use that affect your well-being? If so, can you describe how you use them and their impact? Please be aware that this is a substance-free retreat with no alcohol or drug use. *
Are there any physical injuries that would be useful for us to know about? *
Any sleeping needs or dietary restrictions: snoring? light sleeper? gluten-free? Etc. *
Where are you traveling from? *
Are you interested in receiving a scholarship for this retreat? *
Are you in a position to pay for this retreat without a scholarship? *
How did you learn about this retreat? *
Anything else you would like to share? *
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