Family Well Field Day Partner Registration
R.Wellness thanks you in advance for your willingness to join our efforts to enrich family and community engagement. We are requesting each organization to host a table game, small group activities, OR sponsor/ lead out in a large group game. This is part of our efforts to improve family engagement, provide resources, and support Kansas City to be a safer place to grow. We developed The ouRSPOT Kc Collaborative to push this initiative forward. We believe that Happy Families Create Healthy Communities. Our goal is to facilitate quarterly field days. The first field day is May 31st from 12PM to 5PM. Setup at 10 AM, and breakdown begins at 5:30 PM. This will be outside of the Interpretive Center on Swope in Kansas City, Missouri 6601 Swope PKWY KCMO 64132. We thank you again and we look forward to having fun with you and your organization soon.
Organization Name
*
Contact Person Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Organization
*
Nonprofit
School
Healthcare
Business
Church/Faith-Based
Other
Other
How would your organization like to participate?
Host a table activity (face painting, bubbles, music, jumbo connect 4)
Host a small group activity (4 square, bouncy house, petting zoo)
Host and sponsor a large group activity (egg toss, tug a war, capture the flag)
Only provide resources
Please describe your proposed game or sponsorship idea.
*
Please list materials you will be bringing.
*
I need ideas for a game.
Yes
No
Number of representatives attending
*
Will you need any of the following?
*
Table
Chairs
Electricity
Tent/Canopy
Other
Will you be distributing food or drinks?
*
Yes
No
Any special accommodations or requests?
Would your organization be interested in participating in future Community Field Days?
*
Yes
No
Maybe
If yes, which upcoming dates would you be available for?
May 31th
August 30th
November 29th
All dates
Would you like to be added to our contact list for future events and updates?
*
Yes
No
Liability Waiver Agreement
*
I acknowledge and accept responsibility for my organization’s participation.
Register
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