2025 BFF Attendee Retreat Application

The 2025 Beautifully Flawed Retreat Attendee Application
The Beautifully Flawed retreat will be held October 2–5, 2025 in Del Mar, CA. For more details about the retreat, requirements, and important deadlines, learn more here!
APPLICATION INFORMATION:
I am a:*

new attendee.returning attendee.
What year(s) did you previously attend the Beautifully Flawed Retreat? *
GENERAL INFORMATION:
Applicant Name*

First NameLast Name
Please note that email will be our MAIN FORM of communication with you. Please enter an email address you or your parent/guardian will regularly check and add info@beautifullyflawed.org to your contact list to ensure you will receive our emails.
Who will be the primary contact for the retreat information?*

I will be the main contact regarding retreats.My parent/guardian will be the main contact regarding retreats.
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Phone Number*
Please enter a valid phone number.
Main Contact Email Address*
example@example.com
Applicant Birth Date*

MonthDayYear
Applicant Current Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number*
TELL US A LITTLE ABOUT YOURSELF:
What is your limb difference? Ex. left arm below the elbow, right leg above the knee, etc. (This helps us plan accordingly) *
Please share the story of your limb difference. *
Who or what inspires you?*
Would you consider yourself a Christian or a person of faith? *
Why do you want to attend the 2025 Beautifully Flawed Retreat? *
Please remind us the story of your limb difference and share an update about yourself. *
Why do you want to come back to the Beautifully Flawed Retreat? *
If accepted as a retreat attendee, will you require a family member or other person as support to help assist you during the retreats? If yes, who will you be bringing with you?*
How did you hear about the Beautifully Flawed Retreats?*
Is there anything else we should know, or that you would like to add?
Applicant Signature*

Clear
Are you currently a minor under the age of 18?*

YesNo
Parent/Guardian Signature*

Clear
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Relation to the Applicant*
I understand that these retreats are designed for those living with limb difference or have experienced limb loss.
I understand that email will be the main form of communication for these retreats. I acknowledge that I have submitted a working email address in the form above that I/my parent/guardian check/s regularly.
I understand that there are costs associated with attending the retreat ($500) and the additional travel costs to/from California. Scholarships are available upon request.
Applicant Photo*

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Please verify that you are human*
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The 2025 Beautifully Flawed Retreat Attendee Application

APPLICATION INFORMATION:

GENERAL INFORMATION:

TELL US A LITTLE ABOUT YOURSELF: