Community Event Registration Form 2026

Community Event Registration Form

Join Experience Camps for in-person events that combine play and grief support while creating a sense of community for the entire family. All grieving children ages 8-18 (and their families) are welcome to attend.
Attendee Information

Please fill name and contact information of attendees.
Which Community Event are you attending?*
Where did you find out about the event?

I am a past Experience Camps participantKate's ClubAustin Youth FitnessFacebookInstagramFriendOther
Caregiver Name (The person completing this form)*

PrefixFirst NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will this caregiver attend the event?*

YesNo
Who died in the child’s life?*
Are there any accessibility needs we should be aware of to best support your family during this event?*

YesNo
Please complete the following information for each person attending the event.
Participant #1
Participant #2
Are there any additional attendees?

yesno
Participant #3
Participant #4
Participant #5
Would you like to be updated about the upcoming events?

YesNo
I acknowledge that I have read the Experience Camps Community Event Waiver, and I understand what it means and what I am agreeing to by signing below.
Signature*

Clear
Should be Empty:

Community Event Registration Form