Services

Holiday Hope Registration

Holiday Hope Registration

To register for Holiday Hope on Sunday, December 8, please complete the Registration Form below.

  • Open to children ages 5 to 18
  • 1:30 p.m. to 3:30 p.m
  • Caregivers are encouraged to attend the Holiday Hope Caregiver Support Group from 1:30 to 3 p.m., and are required to attend "Snacks & Sharing" from 3 to 3:30 p.m.

Registration Form

First Name
Last Name
Country
Address Line 1
Address Line 2
City
State
Postal Code
Cell Phone:
Name of the person who died:
Date of death (month/day/year):
Decedent's relationship to you:
If "Other", please detail here:
Will you be attending the Holiday Hope Caregiver Support Group?
If "Yes," will there be other adults attending with you?
Has/have your child(ren) attended other Mourning Hope groups/events?
(i.e. Family Grief Support Group, Bits of Hope, Holiday Hope, Art From Our Heart, Spirit of Giving, etc.)
First Youth Attending
Youth's School
Second Youth Attending
Youth's School
Third Youth Attending
Youth's School
Decedent's relationship to child(ren):
If "Other", please detail here:
Is English the primary language spoken in the home?
Holiday Hope includes refreshments; please list any food allergies for participants:
Please list any mental or physical disabilities and accessibility needs for participants:

Funding agencies often require nonprofit organizations to maintain client information related to gender, race, age, and income level. The requested information is strictly for the purpose of Mourning Hope's compliance with these record-keeping requirements. Responses will remain anonymous, and are greatly appreciated.

My child receives free/reduced lunch at school:
By typing your name in the signature box, you are giving consent to participate and possibly be photographed for promotional purposes. The term "electronic signature" means a method of signing an electronic message that identifies and authenticates a particular person as the source of the electronic message; and indicates such person's approval of the information contained in the electronic message.