Roots of Resilience Kick-Off Night Registration

Roots of Resilience Kick-Off Night Registration

We’re excited to welcome your family to Roots of Resilience, a family-centered community wellness experience designed to connect families with local resources, practical tools, fun activities, and opportunities to grow stronger together.Join us Friday, October 16th for our Kickoff Night as we come together to celebrate our community, enjoy a family-friendly meal, connect with local organizations and resources, and get a first look at what Roots of Resilience has to offer. On Saturday, October 17th, families will also have the opportunity to participate in a variety of class options, peer group sessions, and activities designed to support wellness, connection, and practical family skills.Kickoff Night is free and open to families in our community. Registration helps us plan for food, space, activities, and other resources so we can make the evening a great experience for everyone.We can't wait to grow together! 🌱
Registrant Information
Full Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
What town do you reside in?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If applicable, what school do your children attend?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many adults will be attending?
Dinner is included in registration. Please list any dietary restrictions we should be aware of:
How many children will be attending?
Do you plan to utilize on-site childcare during kick-off night?
Childcare is limited to those 2 years old+ to ensure our volunteers are able to engage in meaningful activities.

If yes, please complete the fields below:

Rows	Child Name	Age	Any accessibility, dietary, or participation needs we should be aware of?
1
2
3
4
5

May Roots of Resilience photograph/video you and/or your family during the event for use in event promotion, community outreach, and future Roots of Resilience materials?

Other
Friday, October 16th will include vendors, opportunities for connection, and dinner!

Saturday, October 17th will be a day full of class offerings, peer groups, connection activities, and learning! A full schedule of events and offerings for Saturday, October 17th will be available prior to the event.

There will be a brief survey provided to registrants prior to the event. Completion of the survey will enter you to win one of many fantastic prizes!
How did you hear about our event?
Please Specify
Is there anything that would help make Kickoff Night a welcoming and enjoyable experience for your family?
Should be Empty: