Journey Through Grief Registration Form
March 28, 2026 : 9:00AM-3:30PM : Backroad Retreat Oskaloosa, IA. Free of Charge. Please, fill out a form for each individual who plans to attend.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
T-Shirt Size
Enter as much information about your child(ren) that died: Name, date of birth, date of death, cause of death, etc
Religious Affiliation (if any)
Do you have any specific dietary restrictions?
Have you attended an Awakening Grace retreat in the past?
Yes
No
Have you received an Awakening Grace Care package? If no, would you like to receive one?
How did you hear about this retreat?
Do you have any other questions, comments or concerns? We will email you more details about the event as it gets closer. Please reach out to us at awakeninggracefoundation@gmail.com if you need anything before then.
Submit
Should be Empty: