Responder Retreat Fall 2026 Registration
Privacy Policy: I understand that my information will be used solely by Responders Retreat to mail or e-mail information and updates about retreats and will never be given to a third party.
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Personal/Contact Information
Name *
Date of Birth *
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Gender *
Required
Address *
City *
State *
Zip code *
Phone Number *
E-mail *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship *
Please list any food allergies we need to be aware of. (If none, please type none) *
Do you need any special accommodations? 
I am a current/former/retired responder of: *
Required
Statement of Applicant
Please type your initials after each statement to show that you read each statement. 
I understand that this retreat is not a treatment facility and will not have clinicians in attendance. *
I understand that I will be exposed to the risks of nature and elements over which Responders Retreat nor its employees have any control.  *
I will accept all responsibility for any injury incurred while attending this retreat, participating in activities including travel in boats.  *
I certify that if I incur any expenses for medication, hospitalization, or any other reason while I am at camp, I will be responsible for such expenses. *
I assume responsibility or the loss of, or damage to, my personal effects while at the retreat.  *
To reserve your cabin, a $100 deposit is required; it will be refunded to you when you arrive at the retreat. To send the deposit, please choose one of the options below.  *
Signature of Applicant (Type your full name for your signature) *
Today's Date *
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Your cost is free thanks to the federal grant (FAW-18-5666).
This project was supported, in whole or in part, by federal award number FAW-18-5666 awarded to the Eagle River Police Department by the U.S. Department of Justice, Office of Community Oriented Policing Services. The opinions contained herein are those of the author(s) or contributor(s) and do not necessarily represent the official position of policies of the U.S. Department of Justice. References to specific individuals, agencies, companies, products, or services should not be considered an endorsement by the author(s) or the U.S. Department of Justice. Rather, the references are illustrations to supplement discussion of the issues. The internet references cited in this publication were valid as of the date of publication. Given that URLs and websites are in constant flux, neither the author(s) nor the COPS Office can vouch for their current validity.
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