Individual Retreat Purpose Form
Your responses will help us prepare for our time together.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Arrival and Departure Information
*
Please share any travel related specifics that would help us welcome you to Awakening Hope!
In a few sentences share what brings you to this space.
*
Share a specific desire or hope you have for our time together.
*
Is there an area in your life where you feel stuck? If so, share briefly.
Check any of these words that describe how you’re coming to the table in this season in your life.
*
Curious
Shameful
Anxious
Hurt
Sorrowful
Wondering
Angry
Hopeful
Intrigued
Joyful
Questioning
Weary
Sad
Bitter
Anticipating
Lonely
Grieving
Other
Please share any other information that may inform our time together!
Representative Photo
Browse Files
Drag and drop files here
Choose a file
Is there an object or photo that represents your relationship with God right now? It could be something in your physical space you take a picture of, or a photo you see somewhere. Upload if applicable.
Cancel
of
Emergency Contact
Please share the name and number of a person you trust to care for you in case of an emergency.
EM Contact Name:
*
First Name
Last Name
EM Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: