Lady Veterans Connect All Female Summer Retreat. July 16-18, 2021.

Lady Veterans connect provides a relaxing, hands on experience at our retreats that are both educational and fun. We host the retreat at our Anna’s House facility located on 8 acres of the outer bluegrass country hills of Clark county.

Check in is Friday evening and runs through Sunday around noon, feel free to stay longer if your time permits.

FREE for female Veterans with proof of service. Non military/veteran women may attend with a $50-$100 donation to Lady Veterans Connect.

To register, submit proof of service, such as DD214, VA card or other proof.

Application for Summer Retreat July 16, 17 & 18.

Name

First Name

Last Name

Email
Phone Number*

Current Address*

Line 1
Line 2

City

State

Zip

Country

How would you describe your range of mobility?* Full RangePartialNo RangeOther (details below)
Other Mobility Details

How I heard about the Women's Retreat*
Branch of Service* —Please choose an option—Air ForceArmyCoast GuardMarinesNavyMore than one
Date Served From-To:
Rank*
Do you have a service animal? Yes - will attendYes, but will NOT attend with meNo
Do you have any allergies (seasonal, etc)? If yes, please list:
Do you have any food allergies or special dietary accommodations? If yes, please list:
Do you require transportation?

Please list any other info you'd like to include about yourself

Retreat Registration Form

IF you don’t receive a confirmation email, please reach out to Phyllis Abbott at 859-806-4297