New Roads Retreat at Wildwood Ranch
Please fill out this form if you are interested in participating in a personalized retreat to address burnout and compassion fatigue. Our retreats are open to First Responders/Military, Healthcare Professionals, Educators, and Clergy (Pastors & Missionaries). Once we receive this intake, you will be contacted to schedule a video interview to determine how to proceed.

A part of our retreats is taking advantage of the beautiful outdoors and wilderness around us. We hope you will enjoy and be refreshed by it as much as we are. Being in nature is a connection to the divine and we encourage our guests to spend as much time outdoors as possible. We do not have WiFi or TV but you can get cell reception should you need to take the occasional call. We hope this can be a time for you to disconnect from technology and reconnect and refresh with God, yourself, and whomever you come with.

Health and Emergency Disclosure: Be advised that Wildwood Ranch is in a remote rural location. The nearest hospital emergency room is 40 minutes away in Placerville, CA and 47 minutes in Auburn, CA. There is a fire station 2 miles away. Our retreats involve trail walks on our property. Moreover, our house is not ADA compliant although it is all on one level and has grab bars in the bathroom. There are 2 steps down to the main entry way.  
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Email *
First Name *
Last Name *
Email address *
Cell Phone Number *
Name of spouse/partner (if they will be attending the retreat)
Email address of spouse/partner
Cell phone of spouse/partner
What is your job/role?
What is your specific job/role/title?
Have you either directly or indirectly experienced a traumatic event in the past 1-2 years?
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Have you ever been diagnosed with PTSD or any anxiety disorder?
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What is your employment status?
Do you have any physical disabilities or health problems that would prohibit you from walking/hiking for at least a mile?
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Do you have any food allergies? (Please list)
Do you have any dietary restrictions? (If yes, please explain)
Please list any foods you or your partner prefer not to eat (i.e. fish, beef, mushrooms, etc)
Are you currently feeling (check all that apply)?
Why are you seeking a retreat with us?
What would you like to gain personally from this retreat?
How did you hear about us (check all that apply)?
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