​Still Your Mom Retreat Attendee Questionnaire

    We are looking forward to welcoming you to The Still Place and providing a unique retreat experience as you gather with a small group of other bereaved mothers to experience rest, renewal and re-creation as we hold a safe space for you to share, be pampered and supported on this most difficult journey. No matter what, we know YOU are Still their Mom.

    Thank you for allowing us to get to know you a little more before the retreat. Everything we do at The Still Place is small, unique and born of stillness. We try to make each retreat unique based on our participants preferences.

    ​Please complete this and return it to info@thestillplace.org

    ​Let’s start with the yummies:
    ​In scheduling each retreat, we incorporate a little bit of art, nature, spirituality and Appalachian culture or adventure. The following questions are aimed at trying to find just the right amount of and mix of activities to best serve you. We also like to leave plenty of room for participants to leave any or all activities to spend quiet time alone if that is what you need most. Please keep in mind some of the activities are seasonal. We will do our best to find the sweet spot for everyone. (Please check all that apply) 
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The Still Place, Inc. is a North Carolina registered 501(c)3 nonprofit organization
registered for solicitation in NC, FL and GA
Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Branch at 919-814-5400.  The license is not an endorsement by the State.
FLORIDA SOLICITATION OF CONTRIBUTIONS ACT:  LICENSE #CH57163:
A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free within the State of Florida.  Registration does not imply endorsement, approval, or recommendation by the State of Florida.
Florida Division of Consumer Services
1-800-HELP-FLA (435-7352)      ​www.FloridaConsumerHelp.com

Mailing Address: PO Box 31 Hayesville, NC 28904

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