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!

Question Title

* 1. Name

Question Title

* 2. Please identify if you are:

in active cancer treatment

completed cancer treatment

Question Title

* 3. Cancer Diagnosis

Type of Cancer:

Stage of Cancer:

Date of Cancer Diagnosis:

Question Title

* 4. Date of Birth

Question Title

* 5. Address

Address

City/Town

State/Province

ZIP/Postal Code

Question Title

* 6. Email

Question Title

* 7. Phone

Question Title

* 8. Who Will Be Attending with You?

First/Last Name & Age:

Question Title

* 9. Would you like to attend?

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)

Question Title

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

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)

Question Title

* 1. Name

Question Title

* 2. Please identify if you are:

Question Title

* 3. Cancer Diagnosis

Question Title

* 4. Date of Birth

Question Title

* 5. Address

Question Title

* 6. Email

Question Title

* 7. Phone

Question Title

* 8. Who Will Be Attending with You?

Question Title

* 9. Would you like to attend?

Question Title

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

Question Title

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