Spring 2026 Community Grief Retreat
Northwest Grief Tending
May 9 - May 10, 2026
AGES: 18 yrs and older

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FOR WHOM?

I WILL PARTICIPATE

HOUSEHOLD/FAMILY DETAILS:

PARTICIPANT MAILING ADDRESS:

* ONLY IF OUTSIDE OF USA

HOW DID YOU FIND US?

Please help us understand
which of our marketing efforts are most effective
by checking the factor or factors
that most influenced your decision to register!

IMPORTANT DETAILS:

Please describe any special dietary restrictions, and indicate whether they result from personal preference, religious custom, or medical necessity.
Any ALLERGIES?
To foods? To medications? To insect stings or other environmental agents?
If so, please explain the symptoms and the severity of these allergies: ( MILD DISCOMFORT or SEVERE LIFE THREATENING ANAPHYLAXIS )
Any regular MEDICATIONS? If so, please list the medications, their dosage and frequency, and their purpose. This information may be used to administer medications during a program, but more importantly it will help medical professionals in the event of an emergency.

Tell us any concerns you may have about participation in our programs: Any injuries or physical limitations, or any emotional, behavioral, or mental health issues, any sleep issues, substance abuse, history of infections, or anything else that you can let us know in advance to help our staff to make the program safe and enjoyable for everyone.Please note: failure to disclose significant medical or learning issues undermines our work and the safety of our programs, and we reserve the right to dismiss any participant who arrives with undisclosed conditions.

YOU MUST CHOOSE ONE OF THESE OPTIONS:
$450.00
TUITION A-SUPPORTING-TIER-GRIEF 
This tuition tier supports those paying on the lower end of the scale and helps Journeys develop future programs
$400.00
TUITION B-STAFFING-TIER-GRIEF 
This tuition tier covers the full costs of running our program with administrative overhead.
$350.00
TUITION C-SUSTAINING-TIER-GRIEF 
This tuition tier covers our direct costs of running the program.
$300.00
TUITION D-SUPPORTED-TIER-GRIEF 
This tuition tier falls short of covering our direct expenses.
$40.00
TUITION Z-FINANCIAL-AID-COMMUNITY-PROGRAMS 
We require that everyone applying for financial aid for Community Programs pays at least $40 to secure a spot in the program. After you register, you will receive a Financial Circumstances Questionnaire and your final financial aid determination will be determined based on annual income, family size and answers on your Financial Circumstances Questionnaire

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NEWSLETTER OPT IN
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COMMUNITY GRIEF RETREAT REGISTRATION QUESTIONS
In a few words, what brings you to our grief retreat? Are there specific losses you are grieving?
Have you participated in grief support work or grief ritual before? If so, please describe.
Are you currently experiencing any crisis, safety concerns, or need for immediate, intensive support? If yes, please describe your current situation, who is supporting you, and any immediate needs you might have.
Do you have any accessibility needs or anything else you'd like us to know?
Do you have any dietary restrictions? If yes, please list them:
How did you hear about this retreat?
Emergency Contact (Name, relationship, & telephone number):
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COMMUNITY GRIEF RETREAT AGREEMENTS FORM

Please read both agreements below and provide your signature

I understand that Saturday evening will be dedicated to a community grief ritual, and I have read the description provided:

“Saturday evening will be dedicated to a community grief ritual, where participants will have the opportunity to express grief and anger with the support of drumming, chanting, and dancing. Together we will create a ritual container that can hold deeply embodied expressions of grief. You will be invited to explore ways of using your voice, body, and connection with others to express what is moving through you. This may include keening, wailing, screaming, or raging—held within the structure of song, drumming, and ritual. For some, this may be a new experience: witnessing and expressing grief and anger as sounds of healing, especially if grief was expressed in your childhood or past in unsafe or uncontained ways. We will offer teachings and practices to help you engage with these energies in a grounded, supportive, and healing way. Please know you always have choice in how deeply you participate and may ask for support at any time.”

I understand that I will be responsible for my own meals and lodging. I have read the Land & Accessibility description provided and understand the limitations of the gathering space (e.g. porta-potty, outdoor kitchen, cozy yurt space, etc.):

“Our gathering will take place at Rite of Passage Journey’s Basecamp, a rustic retreat set on 11 acres of wooded hillside, gardens, and meadow, located in a semi-rural area next to the Songaia CoHousing community. The main gathering space is a cozy yurt, with a kitchen and tea station situated in a covered outdoor area about 20 feet away. A nearby porta-potty and handwashing station provide basic amenities. Outdoors, there’s a fire pit, a large grassy meadow, and wooded walking paths—weather depending, we hope to integrate some time in nature throughout our retreat. For accessibility, the site has flat dirt paths connecting the various areas, and there are three steps leading up to the yurt.”

Electronic Signature Authorization

By entering my name below, I testify that I have read this entire document and agree to be bound by it's terms. By applying my electronic signature to this agreement, whether on my own behalf and/or on the behalf of any minors, I agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this agreement, I 1) acknowledge that I have read and fully understand the terms of the agreement; 2) voluntarily agree to be bound by this agreement; and 3) certify that I am 18 years of age or older.
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ALMOST DONE, KEEP GOING!