Hope for Today WAITLIST
Statement of Purpose “To provide women active in and attending Al-Anon or Alateen Family Group meetings regularly, who are affected by the disease of alcoholism and/or addiction, with an outlet with structure and flexibility to self-seek spirituality, strength, hope and enlightenment.“
Attendee Name
*
First Name
Last Name
Arrival Day - you will be able to pay once you are off waitlist.
Wednesday $430
Thursday $325
Friday $220
Are you interested in receiving a scholarship?
*
Yes (please e-mail HFTtreas@gmail.com to apply, and select DEPOSIT $50 item below)
No
If requesting a scholarship, how many times have you requested previously?
This is my 1st time
2nd time
3rd time
Are you willing to be flexible?
My roommate and I are willing to share a room with a king size bed.
My roommate and I are willing to share a room with a queen size bed and pull out couch.
I am willing to sleep in the bunkhouse, where parking is limited, and there are 4 twin beds in a room, with some gravel path walking required.
Badge Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Full Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is this your first time attending this retreat?
*
Yes
No
Are you interested in volunteering?
*
Yes (if yes, the committee will be in touch with details)
No
Requested Roommate's name
Roommates MUST ARRIVE SAME DAY. Leave blank and we'll assign you if you don't have a roommate request. See terms and conditions for assigned roommate policy if we are at waitlist or payment deadline and your roommate has not yet registered.
Dietary Concerns/Allergies
*
Enter NONE if none.
Mobility Issues
*
Enter NONE if none.
Read the terms and conditions at our website:
https://hopefortodayretreat.wordpress.com/about/
Agree to Terms and Conditions
*
I agree
Submit
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