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Youth Development & Wellness

Retreat Registration

Ready to register for a support group, workshop, or retreat? We've made the registration process even easier.

Are you a potential client? 

STEP 1: Click here and fill out this form in its entirety. After we receive your information, a licensed professional will contact you. 

STEP 2: Do you want more information or wish to see if you qualify for program funding? Please email our wellness office at or call 202-723-3000 ext 261


Are you referring a client?

STEP 1: Use this link to refer clients. Fill out the form in it's entirety and submit. 

STEP 2:  Text or email  this link to the client to complete their  participant portion of the registration. (Clients can text 202-630-2842 to have this link sent directly to their cell phone)

STEP 3: Fax client's most recent labs/treatment plan and medication list  to 202-723-3303 ATTN: Youth Haven