Illuminate Retreat

next retreat: october 17th - 22nd 2023 - VERMONT

Donate to the Illuminate Retreat

Lighthouse For Hope is excited to announce the second Illuminate Retreat! A relaxing getaway for young women ages 18-26 that are experiencing cancer or life-threatening blood disorder.

This retreat will be a chance for 10 brave young women to come together in a beautiful setting and connect with those that are experiencing the same hardships caused by cancer. It is a common misconception that pediatric cancer only impacts young children. There are so many young adults that are being treated for pediatric cancers, yet they do not receive the same programming or benefits if they are over the age of 18. This Illuminate Retreat would be an opportunity for you to feel loved and supported. As a nonprofit, we hope to spread awareness for the various aspects of pediatric cancer and all the obstacles it brings. This retreat will help bring awareness to the fact that pediatric cancer doesn't discriminate and can happen to anyone. This is another chance for us to bring light to the lives of those fighting the good fight!

Where & When: October 17th - 22nd 2023, Vermont

What To Expect: A once-in-a-lifetime healing and bonding experience at a luxurious home in breathtaking New England.

Qualifications: You may apply if you are a female between the ages of 18 and 26 and are currently undergoing treatment for pediatric cancer or have recently completed treatment within 5 years. If you are currently on treatment, you must receive doctors clearance to attend and send documentation. Everyone attending the retreat is required to have received the COVID-19 vaccination.

Application Process: Applications need to be submitted by August 1, 2023. Retreat attendance is limited to 10 young women. Our team considers each submission, and reserves the right to accept or deny any applicant at our sole discretion.

Retreat Cost: The Illuminate Retreat is a complimentary retreat. Attendees are responsible for covering costs of flights.*

Lighthouse For Hope covers lodging, meals during the retreat, ground transportation, and planned activities.

*If not local, each person is responsible for booking their own airfare. However, Lighthouse For Hope will supply airfare assistance for those that qualify and apply for scholarship.

Illuminate Retreat Application - 2023

Name

First Name

Last Name

Email Address

Date Of Birth

YYYY

Age

Location

Current state of residence.

Social Media Handles

Diagnosis

Diagnosis information and date of diagnosis.

Hospital

Hospital where receiving treatment.

Social Worker Information

If not already referred by a social worker, please provide the name and email of your social worker. We will be confirming diagnosis and background information.

Treatment Information

Currently on treatment

Recently completed treatment or received transplant (within 5 years)

Your Story

Please share the story of your cancer journey so far.

Who or what inspires you?

Why do you want to come to the Illuminate Retreat?

Dietary Restrictions

Please describe any dietary restrictions or food allergies that you have.

Mental Health

Please share mental health history or other conditions we should be aware of, if any.

Current Medications

Are you currently taking any medications? Please list here.

Other Medical Information

Any other conditions or issues (physical, medical, emotional, psychological) to inform us of? Please describe.

Emergency Contact

Please list an emergency contact including name, relationship, and phone number.

Scholarship Information

If applying for flight scholarship, please provide your household income. You will need to submit income statements. Please note that you can be accepted to the Illuminate Retreat, but are not guaranteed a scholarship based on the information you provide.

Please describe your funding needs. It is a critical part of our mission not to exclude anyone from this opportunity due to financial restrictions and we work very hard to gather funds necessary to ensure inclusion of all girls. Please describe your funding needs, including how much you can afford to pay for your flight and how much you would like to request from Lighthouse For Hope.

Occupation

I Understand

That this retreat includes daily meals, activities, ground transportation, and the services of staff. If there is a last minute cancelation, Lighthouse For Hope is not responsible for refunding costs of airfare.

Yes

Shirt Size

Pant/Legging Size

Additional Information

Please include any additional information or background story about yourself that you would like Lighthouse to know.

COVID-19 Vaccination Status

I have received all doses of the COVID-19 vaccine.

I have received partial doses of the COVID-19 vaccines.

I have not received the COVID-19 vaccine.

I am unable to receive the COVID-19 vaccine because of my current treatment plan and have a note from my oncologist.

Illuminate Retreat

Illuminate Retreat

next retreat: october 17th - 22nd 2023 - VERMONT

Illuminate Retreat Application - 2023

hello@lighthouseforhope.org

Lighthouse For Hope 2024