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Waiting List Reservation Form - Bereaved Parents

To provide you with the best possible experience at Faith’s Lodge, your waiting list reservation form must be filled out completely. Please be assured that all information will remain confidential. We regret that we will be unable to review and process incomplete forms. Every effort will be made to honor your requested date of stay; however, space is limited. Reservations are processed in the order received and all information is confidential

A staff member will contact you if a spot becomes available. A $50 non-refundable fee is required once you have become an active registrant.


Faith’s Lodge welcomes all parents and families coping with the death or medically complex condition  of a child. Thanks to generosity of our donors and partners we are able to extend a low rate for our guests.

  • Reservation fee: $50 (one-time fee per family, per stay)
  • First-time guests: $99/per night/per room
  • Returning guests: $249/per night/per room

Scholarship assistance is available for your first-time stay. If you are a return guest, please contact us for more information on scholarships at 612.825.2073. We strive to serve all those who wish to come to Faith’s Lodge.

    Parents on Waiting List
    Emergency Contact
    • Referral Source

      Abbott Northwestern/ Mother Baby CenterBeliEVE FoundationBest Christmas EverCoulee Region Angels of HopeEmma's Footprints (IN)Ethan's ReasonGundersen (RTS)Ridgeview Medical CenterHalos of the St. Croix ValleyLasting ImprintOpsahl-Kostel Funeral HomeRehkamp-Horvath Funeral ServicesSomeone elseI was not referred by anyone
    • Referrer Details

      Referrer Details

    Hospital Source
    Scholarships/Financial Assistance
    • Please enter the code from the lower left corner of your gift certificate
    Payment Options (please check one)*

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