C.H.A.R.M 2019 Mother/Daughter Retreat
Applications are reviewed on an ongoing basis and completion of the application does not guarantee program acceptance. Acceptance is subject to availability. We will follow up upon application completion to ensure it is a great fit for you and your daughter. Payments are due in full 90 days prior to travel date.
Mother's Information
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Do you have a passport? *
Daughter's Information
Name(s) *
Your answer
Age(s) *
Your answer
Does she have a passport? *
Retreat Information
Which 2019 session are you interested in attending? *
How can attending the C.H.A.R.M Mother/Daughter Retreat serve your relationship with your daughter? *
Your answer
What are you hoping to gain from attending the C.H.A.R.M Mother/Daughter Retreat? *
Your answer
Do you have authorization to leave the country with your daughter(s)? *
Which package option do you prefer (Total for Mother and Daughter) *
Who should we contact in case of an emergency? (Name, relationship, phone number) *
Your answer
General Information
Allergies/Medication
Your answer
Additional Comments
Your answer
How did you hear about The C.H.A.R.M Retreat? *
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