United in Memory Grief Retreat
January 9-11, 2026- Gaylord Resort- Denver, CO Families will be responsible for travel, lunch on Saturday, and hotel room expenses. Immediate family is free to attend the whole retreat program. If outside of immediate family would like to attend please reach out to confirm space- they will have a small fee. Please fill out this form to reserve your spot for the retreat. Additional information will be sent to you via email then so keep an eye out for an email from kstegmueller@marcjr.org.
Contact Person Full Name
First Name
Last Name
Your Angel's Name and Forever Age
Year Entered Heaven
Type of Cancer
Your relationship to the above Angel
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Number of Attendees
Additional Adult(s) names attending and relationship to Angel
Child(ren) attending names and ages
Special Requirements (food, ADA, etc.)
In need of financial assistance to attend?
Yes- send me the application
No- I have outside assistance
No- I will be covering it
Submit
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