STEP TWO Registration | Passion Spark

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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.

NOTE:

This page invites you

to apply to the

Passion Spark Retreat

after completing

the STEP ONE Registration Form

and choosing

your Start Dates

preferences.

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 info@PassionSpark.org

Passion Spark Retreat STEP TWO Registration Form
in 3 sections

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

Your First Name

Your Last Name

Your Email

Your Cell Phone

Street Address

Street Address Line 2

City

Zip code / Postal

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.

Parent's First Name

Parent's Last Name

Parent's Email

Name of your school

State / Province / Region

Zip code / Postal

Parent's Cell Phone

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.

Please share with us in this box your PRIMARY reason for wanting to participate in the Passion Spark Retreat (box will expand).

Please share with us in this box your SECONDARY and OTHER reasons for wanting to participate in this Retreat (box will expand).

Please share with us one or more personal characteristics that you admire in people (box will expand).

Please share with us how your learned about this Retreat.

What are or were your favorite courses in your school; and why?

What are your favorite extra curricular activities; and why?

Is there anything else you’d like us to know about you as we consider your application for the Passion Spark Retreat?

An OPTIONAL OPPORTUNITY during the Retreat

is the Group Liaison role (GL). This role is described more fully at PassionSpark.org/gl. 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 PassionSpark.org/gl.

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.

1. All participants agree to engage with and treat other Retreat participants with kindness, dignity, and respect.

2. All participants agree that all conversations that occur during the Retreat are to remain 100% private and confidential during and after the Retreat.

3. All cell phones and all other devices to be turned off during all Retreat gatherings. Only the Zoom screen to be open.

4. All participants agree to attend all Retreat dates. Exceptions only for actual emergencies. If an actual emergency occurs, a credit will be considered for a future Retreat date, however the current Retreat can no longer be attended.

5. All participants agree to start their zoom video, and keep it on at all times.

6. All participants agree to spend whatever reasonable time is necessary, in-between weekly Retreat gatherings to complete the Retreat's "Continuation Activities" that are discussed during the Retreat and then emailed to participants after each gathering. This requires about one to two hours per week.

7. All participants agree to write and save Retreat notes, privately, in a Google doc or Word doc, for their own use during the Retreat.

8. All participants agree to read out loud to the other group members portions of the Retreat curriculum when the baton is passed to them for their turn to lead, to share their ideas that they choose to share, and to give all their attention to the Retreat participant who is speaking.

9. All participants agree to give their honest feedback on short surveys about the Retreat during the Retreat, and in a final survey following the end of the Retreat.

10. All participants agree, after the end of the Retreat, at a mutually convenient time, to be available for a 10-20 minute interview, to share about their Retreat experience with a Passion Spark representative, to support the Retreat’s ongoing quality improvement.

11. All participants agree that only they will be present on the Zoom screen during each Retreat gathering, and that no other person will be nearby to hear or observe the Retreat.

12. All participants agree that they will not exceed the announced time limits whenever an activity invites group members to share their ideas or offer feedback.

13. All participants agree that, beyond the personal notes that they write in their journal, no other materials or portions of the curriculum will be saved or recorded.

14. All participants agree that they already have the knowhow to create new documents with Google docs, or Word doc, or they will learn this skill BEFORE the Retreat Start Date.

15. All participants agree that they have a laptop, or desktop computer, with Internet connection, and will use it for the Retreat, and not use a cell phone or any form of tablet; or that they will borrow (or purchase) a laptop or desktop BEFORE the Retreat Start Date.

16. All participants agree that BEFORE the Retreat Start Date they will download the Zoom app onto their computer; and that they will: 1. practice how to quickly sign in to Zoom; 2. test/confirm that their video works; and 3. test/confirm that their audio sound works.

17. Given the importance of an equitable Retreat for all participants, all participants agree that not following any of these Agreement points may lead to their dismissal from all future Retreat gatherings, and that no further URLs for the Retreat gatherings will be sent to them.

18. Within the retreat is maximum flexibility and support for each group member’s choices, and respect for the equity for all. The Retreat is designed to create an environment to support all members to thrive. Achieving this goal is rather easy so long as everyone respects the few protocols to which everyone else agrees. For example, no one wants to wait to begin a Gathering, and diminish Retreat time focused on specific activities, because time is lost bringing a late member up to speed. Therefore, this Agreement point is simply that everyone agrees to show up on time, 10 minutes before the official start time. Agreeing to this Agreement point means no late admittance is accepted on any day. The same is true about missing any Retreat Gathering. The Retreat Team cares about everyone’s success. It will truly and greatly sadden the Retreat Team and other participants if a member is late, or misses any Retreat Gathering, since that member will be automatically dismissed from the Retreat, with no make-up materials, no URLs sent for any future Gatherings, no reconsideration, and no full or partial refund.

I ACCEPT THE TERMS AND CONDITIONS of the Community Agreement described in points 1-18 above, and other details specified within this Retreat Registration form.

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 info@PassionSpark.org. 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 $495. Please 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!

Passion Spark Retreat STEP TWO Registration Form in 3 sections

Passion Spark Retreat STEP TWO Registration Form
in 3 sections