NOMINATIONS OPEN JANUARY 10, 2025
To nominate a Stage 4 Breast Cancer candidate for the 2025 RETREAT4STAGE4, please review the important details below and submit your nomination starting January 10, 2025. Nominations close on April 15, 2025.
Our RETREAT4STAGE4 offers a vacation for 4 to 6 family members, including children aged 1 to 18. Nominees must be legal residents of the 50 U.S. states or D.C., and meet the age of majority in their state. Leslie's Week covers expenses for accommodations, a welcome reception, Family Day Celebration of Life, four programs (CIRCLE4STAGE4, HANDS4GIVERS, CLUB4KIDS, DREAMS4TEENS), and gift bags for Stage 4 MBC women.
We select 25 Stage 4 Breast Cancer women and their families for the 2025 RETREAT4STAGE4 at the Dollywood DreamMore Resort, Tennessee, from July 27 - August 1, 2025. The Welcome Reception occurs on July 28, followed by our programs for women, partners, and children. The Family Day Celebration of Life BBQ Dinner is on July 30, featuring karaoke and fun & happiness.
This retreat offers families time to connect and enjoy a vacation away from cancer.
2024 HONOREES
Angelina Carione, nj - Lisa Chevalier, MN - erin dodson, MD -maggie fogel, NC - arlene garcia, NY - samantha genung, mn -jennifer guerrero, il - yolando payne-jemeau, tx - tiki lewis, tx -tiffani moore, oh - theresa mullins, mo - elizabeth newlin, tx -chelsey newton, oh - ginger outlaw, pa - kara ponzo, oh - kerry poplin, nc - zaccha rosenblum, fl - jessica salazar, tx - tiffany slater, tx - tammy tann, nc - cali thorngate, ct - ann wigand, md
Sample NOMINATION FORM for Stage 4 Breast Cancer Women
To help you prepare for the Leslie's Week Retreat4Stage4 nomination process, here’s a checklist of all the required information you’ll need when the nomination window opens on January 10, 2025:
Nomination Form Checklist:
Nominee's Information:
First Name
Last Name
Age
Address (including City, State, and ZIP code)
Phone Number
Email Address
Children Attending (Limited to 18 Years Old or Under):
Names and Ages of the Nominee's Children Attending
Immediate Family Members Attending (Maximum 6):
Names, Ages, and Relationships of Immediate Family Members (Exclusive family members are husband, children, or caregiver if not the husband)
Total Number of Family Members Attending (Including the Nominee)
Nominator's Information:
Name
Phone Number
Email Address
Medical Information:
Date of Cancer Diagnosis
Specific Details of Body Metastasis
Doctor’s Name
Doctor’s Phone Number
Doctor’s Email (if available)
Cancer Center/Hospital Phone Number
Additional Information:
Reason for Nomination (Please be descriptive)
Any Physical Limitations of the Nominee (does not influence selection)
Special Needs for the Nominee's Comfort (e.g., wheelchair, room location, food allergies)
Make sure to gather all this information before January 10, 2025, to ensure your submission is complete and valid. Incomplete forms will not be reviewed, so double-check each section carefully!