TDP Retreat Interest Form
Thank you for your interest in our healing retreat for the desmoid community. All information will remain confidential, and completing the form does not guarantee participation.
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your age?
*
What is your gender identity?
*
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Retreat Information
What do you hope to gain from the this retreat experience?
*
Are you ready to participate in a group setting, to be vulnerable, and to be respectful of others' needs for a safe space?
*
Yes
No
Are you willing to complete pre/post surveys to assist in program evaluation and data collection?
*
Yes
No
Are you able to do a brief phone or video call with a team member to ensure this retreat is right for you?
*
Yes
No
How did you hear about the program?
*
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Travel Information
If flying, you will fly in/out of the SeaTac Airport and we are approximately 3 hours west on the Olympic Peninsula. We provide round-trip ground transportation between SeaTac Airport and the retreat, with more details shared during the call. Additionally - we have a modest travel stipend available for retreat attendees.
If you are accepted to the retreat, you understand that you are committing to attend March 21 - 24, 2025, and that if you do not opt to take the prearranged shuttle, you must provide your own transportation to and from the retreat location in Port Angeles, WA.
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Yes
No
Do you need reimbursement for your travel to/from the retreat? This includes airfare and hotel (if needed the night prior to or following the retreat) up to $500 per person.
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Yes
No
I understand that the travel stipend is based upon reimbursement. I must purchase the transportation and provide receipts to be reimbursed. I understand there is a maximum of $500 available, and only the amount provided on applicable receipts will be reimbursed.
*
Yes
No
Next Steps
Thank you for completing the retreat interest form. We’ll be in touch when we have more information to share about our next retreat.
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