APSATS Shabbos Form | Guard Their Hearts

Shabbos Retreat for Betrayed Partners

Application Form

February 6–7, 2026

Hosted by Guard Their Hearts – All Kosher Meals Included

First name

Last name

Address

Phone

Email

Previous Healing Experiences:

Have you ever attended a retreat, intensive, or workshop before?

Yes

No

If yes, please briefly describe:

Are you also joining the APSATS Conference (Feb 4–6)?

Yes

No

Unsure

Retreat Cost:

The cost for the Shabbos Retreat is: - $350

$300 for APSATS attendees.

*Book the hotel separately through the link on our site.

Next Steps:

After completing this application, please email the filled form to guardtheirheartsinfo@gmail.com. You will then receive instructions on how to complete your registration.

Signature

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Todays Date:

Month

Day

Year

After submitting the form, you will receive an email with details on how to complete your registration.