Initial Application

Retreat dates *

How did you learn about The Still Place *

Will additional friends or family members will be coming? *

Yes No

Parental relationship *

Father's Name *

First

Last

Mother's Name *

First

Last

Tell me about your family Family Members Names/age *

Others who may be joining/relationship *

Help us personalize your family’s trip to The Still Place!

Themed Excursions
Our teen volunteers have also developed a few unique themed excursions that can be designed to be incorporated throughout the week or can be designed to occur over the course of an action packed one day adventure to be enjoyed by your family alone or to meet up for a picnic with members from our Still Place team. Please choose any you are interested in

Would your child enjoy planning an awesome themed party? For example, in the past we have had tea parties, camping parties, and Iron Chef parties. *

Is your family celebrating any special occasions during your visit? Such as birthdays or anniversaries? *

​Initial Application

Renewal, REST and Re-creation

Initial Application