Family Camp Application
Thank you for your interest to be part of our community gathering. This application is for parents or legal guardians to fill out for any child they wish to attend Remembrance with.
Parents/Guardians Information
First and Last Name
*
Name
*
First Name
Last Name
Email
*
example@example.com
Name Not used
*
(Example:) Remembrance 3
Event
*
Example: Family Camp at Remembrance 3
Date Example: August 2026
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Other Parent/Guardian in attendance
Email (Other Parent)
example@example.com
Phone Number (Other Parent)
Please enter a valid phone number.
Format: (000) 000-0000.
I am attending Remembrance as a
*
Participant
Leader
Support Staff
Child Information
How many children would you be registering?
*
Please Select
1
2
3
4
5
Please list the names, ages of your child/ren, and a little about their blooming personality.
*
What activities or environments does your child thrive in? (Nature, Arts, Movement, Quiet?)
*
Does your child have any sensory needs, learning support needs, or emotional/ coping considerations we should know about?
*
Family Support & Information
Help us understand your family values and system to support your intention in joining us.
What calls your family to this gathering?
*
What values guide your family at home?
*
How does your family practice communication and connection together? What are some fun things you enjoy to do together that bring closeness?
*
In what ways do you see your family contributing to the village container, or what is a gift you all carry that can be shared with the community? Something as simple as presence, helping with meals, storytelling, or music are all valuable gifts.
*
What are you hoping your child/ren will experience at Family Camp?
*
What are you hoping to strengthen or tend to or celebrate as a family right now?
*
Children ages 4-17 years will attend a drop-off day camp, children 0-3 years may attend also, but will need a guardian or caregiver present at all times throughout the gathering. If your child is under 3 year, are you able to make this commitment?
*
What else would you like us to know about your family's story, intentions, or needs?
*
Thank you for taking the time to fill out this form. We will review all applications and get back to you with further details. The number of spaces are limited to ensure we are able to support each child with intentional care. All must be checked for submission to be accepted:
*
I understand this is an application, not a confirmed registration.
I will read and follow all drop-off, pick-up, and safety protocols.
I agree to collaborate with staff if support conversations are needed.
Submit
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