Supportive and Empowering Retreat 2024

Join Us for a Supportive and Empowering Retreat, October 18th-20th. This retreat offers a unique opportunity to connect with others, share your experiences, and discover new ways to thrive.

Event Highlights:

Wellness and Self-Care: Prioritize your personal well-being through health workshops and relaxation activities.
Community Building: Create a supportive network with others who understand your journey.
Inspiration and Growth: Participate in activities that renew your spirit and strengthen your resilience.

Whether you're seeking connection, healing, or empowerment, this retreat offers a transformative experience tailored to your needs. We look forward to welcoming you to this special event.

This weekend is at no cost. If you are not sure if you qualify, or have questions, please contact Kaite Scott, Kscott@hfmich.org.

*As a reminder, this retreat is specifically designed for individuals with a bleeding disorder and HIV and their current or former partners.*

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

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Cell Phone Number*

E-mail*

Confirmation Email

Number of additional family members attending?*

2nd Participant Name

First NameLast Name

2nd Participant Birth Date

MonthDayYear

Participant at same address?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3rd Participant Name

First NameLast Name

3rd Participant Birth Date

MonthDayYear

Participant at same address?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Will you be bringing your service dog?*

YesNo

Please indicate the nights you will be staying *

Friday Night ONLYSaturday Night ONLYBOTH Friday and Saturday Night

Do you require a wheelchair accessible room?*

YesNoOther

Please enter any dietary restrictions, be as specific as possible:

Do you need HFM to provide any assistive devices to participate (walker, cane, scooter, etc.)?

What questions do you have about the retreat?

I understand that this retreat is intended for community members who are a part of the HIV community and their current or former partners.

Yes

Personal Information