KICKcancER Retreat for Hawaii Residents

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Thank you so much for your interest in attending our upcoming educational retreat. We are so grateful for the generosity of Renee and Kurt Suzuki and The Kurt Suzuki Family Foundation for creating this opportunity for our KICKcancER families living in Hawaii!

Here's the Details:
**Registration Deadline: November 30th**
Date: Friday, Jan. 4th (5pm) to Sunday, Jan. 6th (12pm)
Location: Sheraton Kona Resort & Spa at Keauhou Bay (78-128 Ehukai St, Kailua-Kona, HI 96740)
Total Spaces Available: 10 couples
Note: This specific event is only available to those residing in Hawaii and who have a child currently fighting cancer or who have completed treatment within the last 5 years.

Also, KICKcancER will cover the following costs:
- Hotel room costs Friday and Saturday only
- 2 Day Conference Pass for 2 Individuals
- Welcome Reception with Appetizers: Friday Night
- Breakfast for 2 Individuals: Saturday and Sunday
- Dinner for 2 Individuals: Saturday

If interested in attending, please complete the application below. We will be in touch as soon as possible, but feel free to contact us at info@kickcancermovement.org if you have any questions.

Thank you - Season, Josh, Kari, Shianne and Toni

Your First Name *

Your Last Name *

Guest's Full Name *

Email Address *

Island of Residence *

Phone Number *

Child's Name *

Child's Birthdate *

Diagnosis *

Diagnosis Date *

Is your child currently in treatment or did they finish treatment within the last 5 years? *

Yes

Oncologist's Name *

Oncologist's Phone Number *

Are you available to attend the entire event: Friday, Jan. 4th (5pm) to Sunday, Jan. 6th (12pm)? *

Yes

Are you able to provide transportation (including flights, if necessary) to the event location: Sheraton Kona Resort & Spa at Keauhou Bay (78-128 Ehukai St, Kailua-Kona, HI 96740)? *

Yes

Is there any additional information that you would like to share?

Submit

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