Beyond the Bunk Hangout Registration

Beyond the Bunk Hangout Sessions Sign-Up
Beyond the Bunk Hangout is a free monthly virtual space for kids and teens impacted by ALS to connect and find genuine support.

These year-round sessions are guided by educated and trusted professionals, including trained Child Life Specialists, certified caregiving consultants, and mental health professionals. Drawing on lived ALS experience and specialized training in grief and trauma, our team provides a safe and supportive environment for age-appropriate conversations and activities focused on emotional wellness.

Select your age group below to see your schedule and register:
- Ages 6–10 | 1st Monday of each month | 7:00–8:00 PM ET
- Ages 11–13 | 2nd Monday of each month | 7:00–8:00 PM ET
- Ages 14–17 | 1st Monday of each month | 8:10–9:10 PM ET
Select Your Participant's Age Group

Participant Info

Note: Participants only sign up once. All reminders and communications are automated from there.
Participant Full Name

First NameLast Name
Participant Date of Birth

MonthDayYear
Date
Nickname / What They Like to Be Called
Participant's Preferred Pronouns
Participant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Email Address
Provide the email the participant will log-in with.
Guardian’s Email Address
Provide the email the participant will log-in with.
Guardian’s Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I understand that Hope Loves Company may contact the Participant and/or Guardian by email or text message about program information. By checking this box, I give consent for Hope Loves Company to contact the Participant and/or Guardian at the email address and/or phone number provided above. Standard text messaging and data rates may apply.
ALS Journey Details
ALS Connection — Who in the Participant’s family is living with or has had ALS?
Please share pALS first name (optional)
Is your pALS currently living with ALS?
If your pALS has passed away, please share the date of their passing. (optional)

MonthDayYear
Date
Anything else you'd like us to know? (optional)
Virtual Programming Participation Agreement and Release
Confidentiality Policy
Sexual Abuse Policy and Procedure Agreement
Photo & Video Release
Do you acknowledge that you have received, reviewed, understand, and agree to the following Hope Loves Company policies, waivers, agreements, and releases including: Virtual Programming Participation Agreement and Release, Sexual Abuse Policy and Procedure Agreement, Confidentiality Policy, and Photo/Media Release. By checking the box below and submitting this registration form, I confirm that I am the parent/legal guardian of the participant listed above, or the program participant if I am 18 years of age or older.
Signature of Acknowledgment: By checking the box above, providing my electronic signature below, and submitting this registration form, I confirm that I am the parent/legal guardian of the participant listed above, or the program participant if I am 18 years of age or older. I understand that my electronic submission, including my typed name and acknowledgment, serves as my digital signature and has the same meaning and intent as a handwritten signature.
Please list the full legal name of the parent/guardian(s) of the Beyond the Bunk Participant. This name will be referenced in Hope Loves Company, Inc.’s Confidentiality Policy, Sexual Abuse Prevention Policy and Procedures, and Waiver & Release Agreement presented above.
Date

MonthDayYear
Date
Should be Empty:

Beyond the Bunk Hangout Sessions Sign-Up

Participant Info

ALS Journey Details