Health Retreat Application | Battle Paws Foundation

Mental and Physical Health Retreat Application (Destin FL, November 13-16)

First name

Last name

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Do you agree to not hold Battle Paws Foundation liable for any injury you may occur during an activity.

Select your qualification status.

Are you willing to participate in mental and physical health activities?

Are you comfortable with staying in a house with up to 15 strangers? Each veteran/first responder would have their own bedroom but shared common areas.

Can you take up to 5 days off for the event?

In the box below, please list your current first responder position or veteran status with the branch served

Short answer

The property does not allow smoking or vaping. Do you agree to not conduct these activities on property.

In the box below, please list any food allergies you have.

Short answer

In the box below, please list any ADA requirement we would need to accommodate (example: wheelchair transportation, service dog).

Do you agree to allow Battle Paws Foundation to use any photo, video, or content creation obtained at the retreat for website and advertising reasons only.

Yes

Short answer

In the box below, please write a short paragraph on how a mental and physical health retreat could benefit you.

Long answer

Your T-Shirt Size

Will your partner/significant other being joining you on this retreat? If YES, please tell us their First Name, Last Name, Date of Birth, and T-Shirt Size.