Mussels Game Registration

A Day at the Ballpark Registration
We are excited to invite you to a special Kids Day at the Ballpark, courtesy of A.N.A.'s Friends, the Fort Myers Mighty Mussels and the Shadow Wood Charitable Foundation! Join us for a day of fun and excitement as we watch the Mighty Mussels in action. All foster youth, caregivers, and children in the home are invited to enjoy complimentary game tickets, parking, and hot dogs.

Event Details:

Date: September 1st
Time: First pitch at 12:05 PM
Location: Lee Health Sports Complex
Address: 14100 Ben C Pratt/6 Mile Cypress Parkway, Fort Myers, FL 33912

All kids can play catch on the field prior to the game from 11:00 AM to 11:30 AM. After the game, all kids can run the bases.

This event is specifically for children with an active dependency court case who have not reunified over 30 days ago. Spots are limited, so please secure your tickets as soon as possible.

Thank you to our sponsors and partners!
Person Filling Out Form*

First NameLast Name
Your address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.
Your Email address*
example@example.com
Connection to the Foster Child*

GAL Office - Staff or Guardian ad Litem VolunteerCase ManagerJudgeOther - please specify below
Other Connection
I confirm that I am registering a child/children who currently has an active dependency court case in Lee, Charlotte, Collier, Hendry, or Glades County. I can confirm this child has not been reunified or adopted/has been adopted or reunified in the last 30 days. I understand that providing false information is considered fraud and will be subject to investigation.

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Foster Placement Contact Full Name*

First NameLast Name
Foster Placement Contact E-mail*
example@example.com
Foster Placement Contact Phone Number*
Foster Placement Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Foster Child's Full Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Do you have another foster child/children in this home you wish to register?

YesNo
Foster Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Foster Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Foster Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
County with Legal Jurisdiction *
Date Child/Children Was/Were Placed in the Home*

MonthDayYear
Date
How many game tickets and meals will be needed for the family?
Are additional tickets needed for anyone else (for example a Guardian ad Litem Volunteer who plans to stay for the game)?*

YesNo
If so how many game tickets and meals will be needed for these guests?
Comments or questions?
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A Day at the Ballpark Registration