2026 Birth Mom Vacation Application

We create post-adoption experiences in Walt Disney World for birth moms to connect, heal, and have FUN because we believe WOMEN ARE WORTHY.

Please know we take your privacy very seriously. None of the information provided here will be shared with anyone outside of the Funding Love Vacation Selection Board. We appreciate your vulnerability and transparency as we seek to respect and honor all the stories shared here.
Disclaimer!

We take serving the birth mom community very seriously. For the protection of the women we serve, additional verification may be requested and required along the application, selection, and vacation booking process.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Have You Previously Placed Your Child(ren) with an Adoptive Family?*

YesNo
If Yes, What Was the (Approximate) Date of Placement? *

MonthDayYear
Date
Name of Adoption Agency, Attorney, or Facilitator: *
Proof of Placement: Consent and Waiver of Parental Rights (Optional)

Failure to upload a form DOES NOT disqualify you from the selection process.
Cancelof
Have You Felt Supported Post-Placement, Either Through Family, Friends, or Another Organization?*

YesNoSomewhat
If You Answered "Yes" or "Somewhat" to the Previous Question, Where Have You Found Support and/or Community in the Past?
Would You Be Comfortable Sharing a Room with Another Birth Mother You Have Not Previously Met?*

YesNoUndecided
Are You Available to Travel September 10 - 13, 2026?*

YesNoNot Sure
As All Travel Expenses Would Be Covered, How Would You Prefer to Travel to Walt Disney World?*

DriveFlyOpen to Driving or Flying
Please Share With Us A Little Bit of Your Story.*
How Do You Feel You Could Benefit from a Funding Love Birth Mom Vacation?*
Share One Fun Thing About Yourself. What Is Something You Would Like Us to Know, or Something You Wish People Knew About You?*
- References
  
  If you would like to leave a reference, please add their contact information below.
- Primary Reference
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.
- Relationship and How Long Have You Known Them
- Secondary Reference
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.
- Relationship and How Long Have You Known Them
Should be Empty:

We create post-adoption experiences in Walt Disney World for birth moms to connect, heal, and have FUN because we believe WOMEN ARE WORTHY.

Disclaimer!

References