Scholarship Application

Apply for a fully-sponsored retreat experience in Costa Rica. Our mission is to provide healing, community, and renewal for those navigating cancer. Please complete the form below. If approved, we’ll follow up with next steps.

Full Name *

Email Address *

Phone Number *

Cancer Journey *

Dietary Needs

Accessibility Needs

Emergency Contact *

Will you be able to provide a required doctor's release form? *

A doctor's release form is required for all retreat participants.

Why are you interested in this retreat?

Questions or Additional Information

Privacy & Confidentiality: All information is kept confidential and used only for retreat planning and care coordination. We'll contact you within 5–7 business days.

Application Submitted Successfully!
Thank you! Our team will review your application and contact you within 5–7 business days.