The Black Joy Retreat
This is an opportunity for people of African descent to gather multiple times a year, in a variety of settings to express joy and be unapologetically themselves. Please complete this form to help us plan experiences that will work for most of the community. Share with others! Questions? Email rhonda@raceandfaith.org
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First and Last Name *
To attend this retreat, you must be of African Descent and identify as African, African-American, Black, Multiracial/Black. Is this true for you? *
E-Mail *
Phone Number *
Address
Share the name  and gender of the people attending with you, include your gender as well.
The Summer Retreat is July1-3 in Greenlake, WI. Can you attend? *
Required
In planning for the fall, would you be interested in attending a retreat in up state New York or near Charleston South Carolina
Are you attending the retreat with... *
What is your t-shirt size? Share the style of shirt desired (tank top, crop top, basic t-shirt) *
Share Three Activities  You Would Want Available At this Retreat
What type of space would you prefer
Do you have dietary restrictions? If yes, explain *
If you answered yes to dietary needs, explain here
Do you have an accessibility needs? If yes, explain *
If you answered yes to accessibility needs, explain here
Do you have a medical/ mental health background? If yes please share expertise. Please share if you want to be added as a provider in the directory we will share with attendees.
Are you a business owner? If yes, do you want your business added to the directory we will share with attendees?
To attend this retreat, Can you pay... *
Please know that we will need each person to produce a negative Covid-19 test 24hours before the retreat.  Below share if you are fully vaccinated as well as the status of those you may bring with you on the retreat. *
Would you like to help plan future events?
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Do you need a scholarship?
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Can you financially assist another individual or family with attending the retreat? *
Media Release: Does Race and Faith along with the retreat center have  your permission to use photos, videos, for marketing and promotional purposes? *
Add me to the Race and Faith Newsletter *
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