2022 Retreat Family Richmond One Day Application


Join us for a free One Day Event where families have a break from all the chaos that comes with childhood cancer.  You will be met by other families who are excited to serve you and supervise activities for your kids.  Parents will connect in a small group environment that provides you a safe place for you to share and fellowship with others living through childhood cancer.  Lunch, yummy treats and family fun activities are included.  


Program Eligibility:

  • Families must have a child who is 18 years of age or younger and currently on treatment or no more than one-year post treatment.

  • Immediate family members living at home may attend a retreat (limited to 2 adults and siblings under the age of 21). Single parents are welcome to bring a support person.

  • Retreats fill on a first-come, first-served basis, with priority given to first-time families.

  • Families are responsible for travel to and from retreat. All costs associated with food, and planned retreat activities while at the retreat are covered by Lighthouse Family Retreat. 

  • All children with cancer must have a medical consent form completed by their doctor to attend the retreat.

Retreat Date
 Richmond, VA One Day Retreat 
Saturday, October 15, 2022
Village Church 
                                        233 N Courthouse Road, North Chesterfield, VA 23236
9:30 am - 3:30 pm
Primary Parent/Legal Guardian Information


Child with Cancer Information




Second Adult?
A second adult must be the cancer child's parent/step-parent unless you are a single parent.
If you are a single parent you are welcome to bring a support person who has supported you through your family's cancer journey.  
Adult 2 Information


Siblings?
In order to attend a retreat, siblings need to be under the age of 21 and currently living at home.
Please complete the Sibling Information section below for each sibling that will be attending the retreat.
Sibling Information


To add another sibling, click on "Add another response" above.
Family Information