Volunteer Retreat Registration

Volunteer Retreat Registration

July 31 - August 1, 2026
Personal Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How are you connected to Stepping Stones of Hope?
When was the last time you volunteered with SSOH and in what capacity?
Shared rooms are part of the retreat experience. Is there a specific volunteer, friend, or family member you would like to room with? Please enter their name below, or write “No preference” if you are open to being paired.
List any health problems, dietary needs or limitations you may have while at the retreat. If none, please type NONE into the box below.
List any medications. If none, please type NONE into the box below.
List any allergies. If none, please type NONE into the box below.
What expectations do you have of the retreat? If none, please type NONE into the box below.
Please share anything else about you that you would like us to know.
Emergency Contact Information
Emergency Contact Name

First NameLast Name
What is their relationship to you?
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
What name would you like printed on your retreat name tag?
Optional Information

(Information gathered from the following questions provides our organization accurate statistics required for grant applications and ensures a diverse population is served.)
I identify as...

Other
Please indicate your race:
Permissions
I give my permission to (select all that apply):
I agree to the following, by signing below:

By signing below, I hereby release Stepping Stones of Hope in the case of injury or illness. Stepping Stones of Hope reserves the right to use photos and video for promotional purposes. COVID-19 Advisory: We have adopted an ongoing policy of following the recommendations of the CDC and other health agencies. We will do our part in taking reasonable steps to limit exposure to the virus, but since the virus has not yet been eliminated, we are making full disclosure to all participants that attendance at a Stepping Stones of Hope camp may lead to exposure to COVID-19, especially for at-risk age groups. Your attendance at any Stepping Stones of Hope camp or activity includes your express understanding and agreement that you have accepted these known risks and are willing to assume responsibility for your own health and safety.
Sign here:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
All information is only accessed by Stepping Stones of Hope and not shared outside the organization.
Registration Payment Options
Payment can be made now or must be made by 7/27/26. For special payment arrangements, please call the office at (602) 264-7520.
Retreat Registration Options:

My Products

$35.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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Volunteer Retreat Registration

Personal Information

Emergency Contact Information

Optional Information

Permissions

Registration Payment Options

My Products