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A WEEKEND OF HOPE AND HEALING

WIDOWS GRIEF RETREAT | MAY 12-14 or JULY 21-23

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Question 1 of 13

Name

Question 2 of 13

Email

Question 3 of 13

Date of birth

Question 4 of 13

Where do you live?

Question 5 of 13

What is the name of your person who has passed?

Question 6 of 13

What is the date of death of your person who has passed?

Question 7 of 13

Which weekend were you interested in booking?

A

May 12-14

B

July 21-23

Question 8 of 13

What are you hoping to gain from this weekend retreat?

Question 9 of 13

Which option are you interested in?

(Select all that apply)
A

Single Occupancy

B

Double Occupancy

Question 10 of 13

If you checked ´double occupancy´, and you already know who you want to room with, what is their full name?

Question 11 of 13

If you checked ´double occupancy´, and you already know who you want to room with, what is their email address?

Question 12 of 13

Do you have any mobility challenges or limitations?

A

Yes

B

No

Question 13 of 13

If you checked ´yes´ for mobility challenges or limitations, what are they?

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