Home
Donate
VOLUNTEER
Volunteer Team Page
RETREATS
Family Retreat Initial Application
A TYPICAL FAMILY RETREAT
>
Family Retreat Forms
Still Life Virtual Retreats
Bereavement Retreat Initial Application
Tour The Houses and View the Schedule on VRBO
DONATIONS
Give the Gift of the Month
PAY-IT-FORWARD VACATION
>
Tour The Houses and View the Schedule on VRBO
STORE
ABOUT US
OUR MISSION, VISION AND VALUES
Our Story
Staff
Gnorman and Gnorma Gnome
Board of Directors
Founders
>
Dr. Dawn
Dr. Craig
Corporate and Community Partners
Annual Reports
CONTACT US
Sign Up for Newsletter
Bereavement Retreat Initial Application
*
Indicates required field
Name
*
Phone
*
Email Address
*
Address
*
County
*
Name and birthdays of Family members:
*
Occupation of first two:
*
Relationship status:
*
Name of your child who passed away:
*
Date of your Child’s Birth:
*
Date of your Child’s Loss:
*
Diagnosis or Cause of death:
*
What are your biggest challenges to coming to a retreat?
*
Do you have any concerns about coming to this remote location?
*
Do you have any mobility or medical issues we need to know about?
*
We offer an additional night stay for you to relax, unwind and process. Are you interested in staying an additional night after the retreat
*
I will need to leave as soon as the event ends
I would like to spend the night after the retreat attends
I would like to stay a full day and night after the retreat ends
Would your family be interested in coming for a family retreat at The Still Place?
*
Yes
No
Maybe
Is there anything additional that you would like us to know about you, your family or child?
*
Is there anything that might hinder your ability to come such as finances, time off for work, child care. If so, please feel free to share with us.
*
Is travel assistance required for you to attend a retreat?
*
Yes, I can't come without travel assistance,
It would be helpful but not required
I do not need travel assistance to attend
Submit
Home
Donate
VOLUNTEER
Volunteer Team Page
RETREATS
Family Retreat Initial Application
A TYPICAL FAMILY RETREAT
>
Family Retreat Forms
Still Life Virtual Retreats
Bereavement Retreat Initial Application
Tour The Houses and View the Schedule on VRBO
DONATIONS
Give the Gift of the Month
PAY-IT-FORWARD VACATION
>
Tour The Houses and View the Schedule on VRBO
STORE
ABOUT US
OUR MISSION, VISION AND VALUES
Our Story
Staff
Gnorman and Gnorma Gnome
Board of Directors
Founders
>
Dr. Dawn
Dr. Craig
Corporate and Community Partners
Annual Reports
CONTACT US
Sign Up for Newsletter