LHS Treat:Retreat – Nominate yourself Please enable JavaScript in your browser to complete this form.Your Name *FirstLastEmail *EmailConfirm EmailPhone *Address *Country *Are you eligible to be part of the Love Hope Strength Retreat:Treat (please give a brief overview of your diagnosis)? *Please share why you would like to be part of this Love Hope Strength Retreat:Treat Break *Please confirm whether you are happy to share a room with someone else, who you may not know: *YesNoPlease share any dietary, access or other requirements you may have. Please include any further information that you think would be useful to share.MessageSubmit