Parker's Place Foundation

Healing those who have lost too soon

Weekend Retreat Fall 2018

September 14, 5:00 PM - September 16, 3:00 PM

The Alexander

333 S Delaware St., Indianapolis, IN 46204

www.thealexander.com

Guest 1 Name *
Guest 1 Name
Guest 2 Name
Guest 2 Name
Address
Address
Phone
Phone
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone
Please tell us a little bit about your loss by selecting one of the following:
Please tell us anything you would like us to know about your loss. (e.g., When did your loss occur? What is your child's name? Brief details about your loss.)
Do you have any special dietary requests? If so, please explain and include guest name.

LODGING/HOTEL: Your hotel reservation at The Alexander will be made for you. You will receive a confirmation email closer to the Retreat date. 

PAYMENT: Non-refundable registration fee ($125 for a couple or $100 for an individual) is due within two weeks of registration. Check can be made payable to and mailed to:

Parker’s Place Foundation

PO Box 55267

Indianapolis, IN 46205

QUESTIONS? Please contact Janelle Demaree, janelle@parkersplacefoundation.org or 317.500.4630.

NOTE: You will receive Retreat information via email closer to the weekend. Please keep an eye on your junk/spam folder for emails from janelle@parkersplacefoundation.org, as sometimes first emails from this account are dropped into those folders.

Healing those who have lost too soon