Rise Above Picnic
Free Event!

Sunday July 9th, 2023
1:00 pm - 4:00 pm

St. Vital Park
Covered Picnic Area by the Playground

Hot dogs, chips and drinks will be provided!

Registration

Name

First Name

Last Name

Please Let Us Know How You're Connected to Rise Above!

Checkbox

Past or Future Applicant

2023 Recipient

2016-2022 Recipient

Past or Present Donor

Other

If other, please specify.

Adults Attending

Adult #1

Adult #2

Children Attending.

Please provide your child's name and age in the applicable boxes. We require this information so we can ensure access to age-appropriate activities for all children attending.

Child #1

Child's Age

Child #2

Child's Age

Child #3

Child's Age

Child #4

Child's Age

Child #5

Child's Age

Rise Above Picnic *Free Event!*

Registration

Rise Above Picnic
Free Event!