Family Application

All-Inclusive Cultural Experience and Restorative International Travel
Applications submitted by December 31, 2022 will be considered for the 2023 Transformative Travel Experience. (US Residents Only)

* Indicates required field

Applicant name *

Relationship to Lost Loved One *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name of Lost Loved One *

First

Last

Date of Death MM/DD/YY *

Story of Your Lost Loved One *

Describe your family unit and members directly impacted *

Have you had counseling? *

How do you think this experience will assist in transforming and/or healing you and/or your family? *

How did you hear about The Bakari Foundation? *

If selected are you or a family member able to travel to Austin, Texas in April for the annual Bakari Legacy event? *

If selected are you and your family able and willing to travel to the destination noted in the application welcome letter? *

Do you and your family have current valid passports with at least six (6) months validity at the time of entry to the destination country using August 15th as the latest potential date of travel? *

If your family is not selected to receive the all-inclusive Transformative Travel Experience would you consider paying for your airfare to join us, knowing that your food and accommodations will be provided at no additional cost to you? *

Do you have more attachments? *

Max file size: 20MB

Please input links to articles and new sites here. *

Max file size: 20MB

Submit

Family Application

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