Peaceful Pines Retreat
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Single Guys Mentoring

This is a 2–5 day program specifically designed for men ages 17 and older who are struggling to find their identity and purpose in life or seeking freedom from addiction.

We’re here to listen to your story—offering understanding, compassion, and the hope of healing through Jesus.

Our desire is to give men a fresh start and walk with them through forgiveness toward victory in Christ.

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Confidential Counseling Application

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Download Application
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Father & Sons Blessing Days

Statement of Responsibility for Liability
I understand that Pilgrim Hills will not be held responsible for any personal property left, lost or stolen from the premises during my stay at Pilgrim Hills. I also understand Pilgrim Hills will not be held responsible for any injury occurring to anyone while in the Pilgrim Hills program. I understand that the staff of Pilgrim Hills and those associated with them are not professional or licensed counselors, therapists, psychiatrists, medical or psychological practitioners, or if they are licensed in one of these areas, they are not practicing in this area. I understand that the persons counseling me are “pastoral counselors” in the Christian Faith, who are helping me assume my responsibilities in finding freedom in Christ. I also understand that my pastoral counselor may need to intervene if he or she suspects that a child (under the age of 18) is currently endangered by abuse or if there is suspected dependent adult abuse or if I am a danger to myself or others. I also understand that I am free to discontinue this pastoral counseling at any time and am at the facility voluntarily. I release the board of trustees and staff at Pilgrim Hills from any choice I make, or arising from the counseling service or guidance I receive.
Confidential Application for Prospective Counselee
Please List the names and ages of all family members. (including those deceased and the year of death)
Briefly Answer the Following Questions
*We will not disclose personal information to your Pastor without your permission. We simply want to work with your leadership, not against them.
Statement of Responsibility for Liability
I understand that Pilgrim Hills will not be held responsible for any personal property left, lost or stolen from the premises during my stay at Pilgrim Hills. I also understand Pilgrim Hills will not be held responsible for any injury occurring to anyone while in the Pilgrim Hills program. I understand that the staff of Pilgrim Hills and those associated with them are not professional or licensed counselors, therapists, psychiatrists, medical or psychological practitioners, or if they are licensed in one of these areas, they are not practicing in this area. I understand that the persons counseling me are “pastoral counselors” in the Christian Faith, who are helping me assume my responsibilities in finding freedom in Christ. I also understand that my pastoral counselor may need to intervene if he or she suspects that a child (under the age of 18) is currently endangered by abuse or if there is suspected dependent adult abuse or if I am a danger to myself or others. I also understand that I am free to discontinue this pastoral counseling at any time and am at the facility voluntarily. I release the board of trustees and staff at Pilgrim Hills from any choice I make, or arising from the counseling service or guidance I receive.