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Applicants
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Application Number
Which retreat date/location are you applying for? **MUST BE AVAILABLE FOR ENTIRE DATES & TIMES LISTED. Cannot attend partial dates**
Gender
Date of Birth (YYYY
What is your current relationship status?
Branch of Gold Star Veterans Service (Note: You may select more than one answer below)
Date of Fallen Veteran's Death? (YYYY/MM/DD)
Please select any of the following health concerns that you have
Are you currently participating in any of the following treatment or support groups (select all that apply):
Hotel Room Preference
Applicant T Shirt Size
WITHIN 5 DAYS OF SUBMITTING THIS APPLICATION YOU WILL RECEIVE AN EMAIL FROM ASHLEY@GRATITUDEAMERICA.ORG Check your SPAM/JUNK folder on day 5 after submission and search your email for that address if you do not see an email. If you do not see our email anywhere in your boxes or folders, your application did not successfully submit - please re submit. Have you read this message?
Have you attended a retreat with GratitudeAmerica before? NOTE: If YES, preference is given to those who have never attended with us before and you will automatically be placed on a wait list and we will NOT contact you unless we have openings for Alumni.
Retreat is for adults only & childcare isn't provided. Hotel, meals, & activities are provided, we CANNOT assist with transportation. Does this work for you? ** If you select NO, we will NOT contact you about your application **
We cannot provide or assist with Transportation/Travel. Does this work for you?
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