Event Registration Form

"Camp" Sunshine-Angel Family Day! (Saturday, July 19th)

"Camp" Sunshine-Angel Family Day provides an experience of fun filled
and engaging activities as well as opportunities for
families impacted by cancer to process, connect, heal, and
thrive. Kids will have action packed activities led by Camp Kesem and adults will have opportunities to connect with other adults, relax, and hear from

experts on specific topics led by the Angel Foundation. Following the day of activities, the waterpark will be open from 7:30 pm to 10 pm for Angel Foundation only!

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1. Name (Required.)

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2. Please identify if you are: (Required.)

in active cancer treatment

completed cancer treatment

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3. Cancer Diagnosis (Required.)

Type of Cancer:

Stage of Cancer:

Date of Cancer Diagnosis:

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4. Date of Birth (Required.)

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5. Address (Required.)

Address

City/Town

State/Province

ZIP/Postal Code

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6. Email (Required.)

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7. Phone (Required.)

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8. Who Will Be Attending with You? (Required.)

First/Last Name & Age:

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9. Would you like to attend? (Required.)

Sun Angel Family Day + Waterpark

Sun Angel Family Day only (4:30 pm to 7:30 pm)

Waterpark only (7:30 pm to 10 pm)

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10. Do you follow any of these dietary restrictions? (Please select all that apply.) (Required.)

Vegan

Vegetarian

Lactose Free

Food Allergy (e.g. gluten free, peanut free)

I do not follow any of these dietary restrictions

Other (please specify)

Event Registration Form

"Camp" Sunshine-Angel Family Day! (Saturday, July 19th)

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* 1. Name (Required.)

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* 2. Please identify if you are: (Required.)

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* 3. Cancer Diagnosis (Required.)

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* 4. Date of Birth (Required.)

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* 5. Address (Required.)

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* 6. Email (Required.)

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* 7. Phone (Required.)

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* 8. Who Will Be Attending with You? (Required.)

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* 9. Would you like to attend? (Required.)

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* 10. Do you follow any of these dietary restrictions? (Please select all that apply.) (Required.)

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* 11. Please add any additional information Angel Foundation and Camp Kesem should know. (Required.)

1. Name (Required.)

2. Please identify if you are: (Required.)

3. Cancer Diagnosis (Required.)

4. Date of Birth (Required.)

5. Address (Required.)

6. Email (Required.)

7. Phone (Required.)

8. Who Will Be Attending with You? (Required.)

9. Would you like to attend? (Required.)

10. Do you follow any of these dietary restrictions? (Please select all that apply.) (Required.)

11. Please add any additional information Angel Foundation and Camp Kesem should know. (Required.)