Pre-Register | GriefWise

Pre-Registration Form

If you are interested in attending one of our retreats, please fill out the form below. We will contact you after you submit the pre-registration form to learn about your grief journey. This will be an opportunity for us to get to know one another a bit before the retreat. We want to create some comfort and familiarity before you arrive, and we also want to be sure that what we are offering is appropriate for your needs and grief experience.

Single Occupancy: $595.00

Double Occupancy: $495.00

Each bedroom has two twin beds, two desks, and a recliner.

Two bedrooms make up a suite, with a shared bathroom and shower. There can be up to four people per suite.

If you choose single occupancy, you will not have a roommate, but you will have at least one suitemate.

First name

Last name

Phone Number

Text messages are acceptable. (Data rates, etc., may apply.)

City, State

Which retreat are you pre-registering for?

What type of room would you like? (Please see the note at the top of the page for more information about rooms.)

Single occupancy ($595)

Double occupancy ($495)

There is one accessible room on the ground floor. The rest are down a flight of stairs. Will you be okay managing the stairs?

Please list the person or persons you are grieving and, if you wish, their anniversary dates.

Do you have any food allergies, sensitivities, or restrictions? (Please specify.)

Scholarship funds to attend are available. Please choose one of the following options.

How did you find out about the GriefWise retreats?

Would you like to be added to our e-mail list?

Retreats for Honoring Our Grief

Pre-Registration Form