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STEP TWO Registration Form for Passion Spark Retreat

This STEP TWO form is the final step to reserve your place in the Retreat.


This page invites you

to apply to the

Passion Spark Retreat

after completing

the STEP ONE Registration Form

and choosing

your Start Dates


To view the 

STEP ONE Registration Form

Click here.

We look forward to you joining us

for the Passion Spark Retreat

on the eight dates confirmed

in the email recently sent to you.

If even one of your four Retreat dates

noted in the confirmation email are not

a fit for you, then please do not

complete this form.  Instead, resubmit

your STEP ONE form and request new dates.

Thank you.

This application process was developed to support outstanding outcomes for all participants.  To support this outcome, peer groups

are are not combined.  Our Application contains three parts:

First, We ask you to please share a bit about yourself

Second, See the Community Agreement and agree to all points

Third, Click the link at the bottom to pay for your Retreat tuition


Questions:  Please contact us at

Passion Spark Retreat STEP TWO Registration Form 
in 3 sections

First, please share your contact information, and then a bit about yourself:

High School Student peer groups, or those under 18 years of age, please include the information requested below about your parent.  If not in HS or under 18, please skip this next section.

Your thoughtful responses in the boxes below will support our efforts to create good compatible groups of Retreat participants for a high quality Retreat experience for all.

An OPTIONAL OPPORTUNITY during the Retreat

is the Group Liaison role (GL).  This role is described more fully at  In sum, this role offers additional opportunity to develop practical leadership skills. To learn more, and to SUBMIT your short application for the OPTIONAL GL role, go to

Second, our Community Agreement is like the rules of a club where the purpose of the agreement points have been established to support all members to thrive and achieve the successes they are seeking.  Agreement to all points is required prior to application acceptance.  In the online version, please click the “Agree” button in front of each agreement point to confirm that you have thoroughly read that point and agree to act during the Retreat as called for in each of the Agreement points.  Participants to this Retreat are only there because they chose to be there.  As will make sense as you read it, the Agreement below supports everyone who attends to have an optimal experience individually and to create excellent results together.

While no part of the Retreat is recorded, and while it is not a requirement, all participants are encouraged to submit one photo of themselves with their application, for possible use in our marketing materials.  Sending the photo is up to you. If you do send a photo, please include your name, your Retreat Start Date, and send your photo to  Thank you.

Third, as noted in the STEP ONE Registration Form, to achieve the outcomes from the Retreat that we all want, it is important that all six participants in each Retreat group attend all eight gatherings (as all have agreed in Agreement Point #4 above).  To support this outcome, in addition to the tuition for each participant, there is a $100 deposit which is then returned after that participant attends all eight Retreat gatherings.  With your tuition of $395, and the refundable $100 deposit just described, your credit card will be charged a total of $495Please click the link below to pay your Retreat tuition by credit card (on the secure PayPal site).

Click the green button below to pay your tuition.

NOTICE:  To pay by credit card, always choose the "Guest" option on the PayPal form.

Unless you also want a PayPal account,

turn off the link that reads:  Save info & create your PayPal account

Thank you for your Registration!

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