Playing Through Grief Registration Form

Playing Through Grief Registration Form

Join Experience Camps as we meet families where they are through community programs.
Attendee Information

Please fill name and contact information of attendees.
Which Play Through Grief Event are your attending?*
Will you need transportation to and from events that you have registered for?*

yesno
Child's Name 1

First NameLast Name
Child's Birthdate

MonthDayYear
Date
T-shirt Size
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Child's Name 2

First NameLast Name
Child's Birthdate

MonthDayYear
Date
Tshirt size
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Caregiver''s Name*

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Are there any allergies or dietary restrictions that we should be aware of?
We will be hosting a sharing circles for caregivers during the event. Would you like to participate?*
Would you like to be updated about the upcoming events?

YesNo
I acknowledge that I have read the Play Through Grief Waiver, and I understand what it means and what I am agreeing to by signing below.
Signature*

Clear
Should be Empty:

Attendee Information