2026 Becoming Wholehearted Men's Retreat Application

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General Information

Full Name

Gender

Male

Female

Age

Date of Birth

Phone Number

Street/Box Address

City/Town

State/Province

Zip / Postal Code

Country

Where are you originally from?

What is your relationship status?

Has your spouse attended a retreat or school on our campus? If so, when and what is her name?

Is your spouse applying to the 2026 Becoming Wholehearted Women's Retreat? If so, what is her name?

Has your fiancé attended a retreat or school on our campus? If so, when and what is her name?

Is your fiancé applying to the 2026 Becoming Wholehearted Women's Retreat? If so, what is her name?

Do you have children? If so, how many, and what are their ages?

Please upload a recent photo of yourself (head and shoulders) from within the last 6 months (selfies will suffice). Please rename the file with your first and last name as the title (ex: JohnSmith.JPG).

Have you attended a Becoming Wholehearted Men's Retreat before?

YesNo

Please note: All repeat retreat guests are eligible to apply for the Waitlist for this event. We reserve our first application spaces for those who have not been able to attend this retreat in the past.

What year did you attend the Becoming Wholehearted Men's Retreat?

Please read over all retreat related information on our website (the "overview" page and the "Men's Retreat" page) before continuing your application. Once you have, please check "Yes, I have read the material in full"

Yes, I have read the material in full

Food Related Allergies

We define food restrictions as foods that you avoid or do not eat. This could be vegetarianism, avoiding gluten and dairy, etc. We define food allergies as foods that you have an allergic reaction to if ingested (i.e. peanut allergy).

Please select all that apply:

I have a food allergyI have a food restrictionI have no food allergies or restriction

All meals are prepared and provided by our kitchen team during the retreat. Before applying, please note the following:

- Due to the nature of our food service, we are unable to accommodate guests with anaphylactic food allergies.

- We take reasonable precautions to provide gluten-free meals, however we cannot guarantee a completely cross-contamination free environment.

- We are able to accommodate dairy-free and vegetarian diets. We can facilitate some additional dietary restrictions and allergies on a case-by-case basis, but not all requests can be accommodated.

- Because meals are a fully integrated part of the retreat, we are unable to facilitate guests bringing and preparing their own meals.

If you have more than one allergy, please answer these questions for every food allergy individually. Select "add another response" for each allergy.

What food are you allergic to?

Please describe your reaction to this food. Ex - swollen throat, itchy ears, etc.

Is your allergy anaphylactic?

YesNo

Do you carry an epipen

YesNo

Please explain the details of your food restriction. Include if it is a preference or health requirement.

Why the Retreat?

Who has God been for you in this season?

What do you hope to gain in coming to the Becoming Wholehearted Men's Retreat?

Are there any life events, struggles or circumstances that you want to share with us, or make us aware of? (Ex. Loss of a family member or friend, ongoing chronic pain, addiction, change in family structure, anxiety or depression, etc.)

Video

We would like to get to know a little bit about you! In a 2-3 minute video, please answer the following:

What is your name? Where are you from?
What are you learning about the Lord right now?
How did you hear about the Becoming Wholehearted Men's Retreat?
What are 1-2 walls you're hitting in your life that you would like help with?

Video Instructions:

Record your video on your phone or computer and upload it to YouTube as an "Unlisted" video. (‘Unlisted’ means that only those with the link will be able to view your video.) To do so, go to YouTube and click "Upload Video". Once your video is uploading, select "Visibility". Then click on "Publish Now" and choose “unlisted".
Before submitting, please verify that your video is not set to "public." Submit the link to your video below. Videos longer than 3 minutes will not be reviewed.

YouTube Link:

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Further Questions

Our property is a tobacco and drug free campus. Are you willing and able to uphold this boundary?

YesNo

Are you willing to stay in one of our bunkhouses (which have similar amenities to our cabins, however the bathroom is a short walk away) for $150 off the cost of tuition?

Yes, I would prefer to stay in a bunkhouse to receive a discounted rateNoI would be willing to stay in either a bunkhouse or a cabin

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