Village Birthday Bash – Monthly Celebration Registration

Village Birthday Bash – Monthly Celebration Registration

Village Birthday Bashes are monthly group celebrations for foster and adoptive youth who have birthdays during that month. Each child is honored with a fun and welcoming party, complete with games, a cake, and a gift. Immediate family members are invited to attend together. THIS IS A FREE EVENT, BUT YOU MUST RSVP BY FILLING OUT THIS FORM!
Section 1: Caregiver information
Caregiver Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Relationship to child*

Foster parentAdoptive parentFamily member / kinship caregiverOther
Section 2: Birthday Child Information

Enter children's names here that have birthdays this month
Which month are you filling out the celebration form for? *
Birthday Child's name*

First NameLast Name
The age that your child is turning *
Birthday child 2

First NameLast Name
The age that child 2 is turning
Birthday child 3

First NameLast Name
The age that child 3 is turning
Section 3: Attendance Information

This is a party for immediate family members to attend. This party is not for individuals who live outside of your home. Please contact Brianna@actionky.org if you are interested in setting up a private party.
Number of adults attending*
Number of Children Attending (including birthday child)*
Section 4: About Village Birthday Bashes

Village Birthday Bashes are monthly group celebrations for foster and adoptive youth celebrating their birthdays during the same month. Each registered birthday child will receive a gift and a cake, and be celebrated in a fun, welcoming environment alongside peers.
Section 5: Theme & Preferences (Optional)
Birthday Theme Preference / favorite color (if any) - not guaranteed
Any allergies or important notes we should be aware of?
Section 6: Policies & Expectations
Please review and acknowledge the following:

Village Birthday Bashes are group celebrations, and families will share the space with other birthday participants.
Each registered birthday child will receive one gift provided by ACTION, Inc.
Availability of themed decorations is not guaranteed but will be accommodated when possible.

Children must be supervised by parents at all time.
I understand and agree to the Birthday Bash expectations.*

Yes
Section 7: Photo & Media Consent (Optional)
Yes, I consent to photos being taken for program or promotional useNo, I do not consent
Section 8: Signature & Agreement
Signature*

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Village Birthday Bash – Monthly Celebration Registration

Section 1: Caregiver information

Section 2: Birthday Child Information

Section 3: Attendance Information

Section 4: About Village Birthday Bashes

Section 5: Theme & Preferences (Optional)

Section 6: Policies & Expectations

Section 7: Photo & Media Consent (Optional)

Section 8: Signature & Agreement