NOMINATIONS ARE OPEN JANUARY 10, 2025

To nominate a Stage 4 Breast Cancer candidate for a 2025 RETREAT4STAGE4 vacation experience, read the important information below before submitting your nomination on january 10,2025. Nominations close on April 15, 2025.

2025 Honoree names will be posted here on JUNE 1, 2025.

Our RETREAT4STAGE4 vacations away from cancer accommodate between 4 to 6 family members with children between the ages of 1 and 18 years old. The nominee must be a legal resident of the fifty (50) United States or the District of Columbia and have reached the age of majority in the Nominee’s state of residence at the time of entry. LESLIE'S WEEK pays for the Accommodations, the Welcome Reception, the Family Day Celebration of Life, our four LESLIE’S WEEK programs - CIRCLE4STAGE4, HANDS4GIVERS, CLUB4KIDS, DREAMS4TEENS, Dollywood Theme Park Tickets, and the Gift Bags for our Stage 4 MBC women.

We select 25 Stage 4 Breast Cancer women & their families for our 2025 RETREAT4STAGE4. LESLIE’S WEEK hosts this at the Dollywood DreamMore Resort in the Tennessee Smoky Mountains, on Sunday, July 27 check-in and Friday, August 1, 2025 check-out. The LESLIE'S WEEK Breakfast Welcome Reception is held at the DreamMore Conference Center on Monday, July 28 from 9:00 AM to 11:30 AM. From 1:00 to 4:30 we host the CIRCLE4STAGE4 for our women, the HANDS4GIVERS for our husbands/partners, the CLUB4KIDS for children ages 3 to 12, and the DREAMS4TEENS for children ages 13 to 18. These events allow our families to Meet & Greet, form bonds, share stories, network, and create a community of engagement with their new friends for the week's events.

The Family Day Celebration of Life is hosted on Wednesday, July 30, 2025, from 5:00 to 9:00 pm in the DreamMore tent on the Meadow Event Lawn next to Dolly Parton’s Tour Bus. Our DJ hosts a karaoke celebration of singing and dancing for the kids and adults — IT IS THE MOST FUN!

This week is for the family to spend time together and enjoy their retreat vacation away from cancer.

NOMINATION FORM for Stage 4 Breast Cancer Women

ALL INFORMATION ON THE FORM MUST BE COMPLETE TO BE ACCEPTED THIS form cannot be submitted before January 10, 2025

Nominee's Name

PLEASE BE SURE TO COMPLETE ALL INFORMATION IN EACH BLOCK OR THE NOMINATION WILL BE CONSIDERED VOID. LESLIE'S WEEK LACKS THE RESOURCES OR EXPERTISE TO CARE FOR CHILDREN WITH PHYSICAL OR MENTAL CHALLENGES WHICH REQUIRES THEIR PARENTS TO BE RESPONSIBLE FOR THE CARE AND MONITORING OF THEIR CHILDREN DURING THE RETREAT4STAGE4.

First Name

Last Name

Nominee's Age

Nominee's Address:

NOMINEE'S CITY OF RESIDENCE

NOMINEE'S STATE

NOMINEE'S ZIP CODE

Nominee's Phone Number

Nominee's Email

Nominee's Children Attending Limited to 18 Years Old or Under, NAMES and AGES,

NAMES, AGES, RELATIONSHIP of IMMEDIATE Family Members Attending with the Nominee , 6 Maximum

IMMEDIATE FAMILY MEMBERS ARE HUSBAND, CHILDREN, OR CAREGIVER IF NOT THE HUSBAND

TOTAL NUMBER OF FAMILY MEMBERS ATTENDING INCLUDING THE NOMINEE, 6 MAXIMUM

Nominators (YOUR) Name and Phone Number

Nominators (YOUR) Email Address

Nominee's Date of Diagnosis

Nominee's Body Metastasis, PLEASE BE SPECIFIC

Nominee's Doctor's Name

Nominee's Doctor's Phone Number

Nominee's Doctor's Email, If Available

Nominee's Cancer Center/Hospital Phone Number

Reason for Nomination - Please be Descriptive

Please describe physical limitations of Nominee. This does not influence selection.

Let us know if special needs are required for her comfort, i.e., wheelchair, room location, food allergies, etc.

NOMINATIONS

NOMINATIONS ARE OPEN JANUARY 10, 2025

To nominate a Stage 4 Breast Cancer candidate for a 2025 RETREAT4STAGE4 vacation experience, read the important information below before submitting your nomination on january 10,2025. Nominations close on April 15, 2025.

2025 Honoree names will be posted here on JUNE 1, 2025.

NOMINATION FORM for Stage 4 Breast Cancer Women

ALL INFORMATION ON THE FORM MUST BE COMPLETE TO BE ACCEPTED THIS form cannot be submitted before January 10, 2025

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