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Deliver the Dream Family Retreat 2017 Application |
Application Process
Thank you for your interest in our program. This application will take about 15 minutes to fill out. If you have any questions while filling out the application or questions about the program please contact the Program Manager, Jamie Brumer, at 1.888.687.3732 or you can email her at Jamie.Brumer@deliverthedream.org
Eligibility:
-Families must fit the illness/crisis criteria listed stated in the application.
-Families must have children between the ages of 6 weeks-18 years old living in the household.
-Families must fit the illness/crisis criteria listed stated in the application.
-Families must have children between the ages of 6 weeks-18 years old living in the household.
-Family members attending must be living in the household of the applicant.
-Families must commit to attending the entire weekend from Friday at 11:30am until Sunday at 1:30pm.
-Families must commit to attending the entire weekend from Friday at 11:30am until Sunday at 1:30pm.
-Families must be able to provide their own transportation to and from the retreat.
-Families must participate in all scheduled activities.
-Families can not attend more than once.
-Families can not attend more than once.
After you have submitted the online application you must fax, scan or mail a letter from a healthcare professional stating the applicants current diagnosis including any physical, emotional or cognitive delays, medications and allergies. (Excluding Post 9/11 combat veteran retreat and death of a loved one retreat).
Families applying for the retreat for post 9/11 combat veterans are required to submit a copy of their veteran's DD Form 214 (Discharge Papers and Separation Documents).