Full Name *

Phone *

Email *

City *

State *

I'm Applying As A: *

Volunteer

Foster Family

Group Home

Tell us a little about your story *

Preferred time of year. (Feb/March FULL | July Limited Availability) *

What inspires you to take part in a life-changing retreat focused on healing through the power of water? *

Why do you feel this retreat could make a difference in your life right now? (2025 Season has limited space) *

What are two of your biggest challenges? *

What are two of your biggest blessings? *

If selected, how would you use the lessons and healing from this retreat to impact your family, community, or profession? *

When you hear the words “2 Walk on Water,” what comes to mind? *

Share a recent photo of you *

Share a short video of why you want to attend

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

About Us

Careers/Volunteer

Water Therapy