Reunification Day Participant Registration

Primary Contact Information

*First Name

*MI

*Last Name

*Phone #

*Email Address

Family Attendance Information

*How many adults (18+) will be attending, including yourself?

ADULTS

*How many children (under 18) will be attending?

CHILDREN

*Children Information

Community Outreach Information

*Would you like to nominate someone?

Are You Sure?
Once you submit your registration, you will no longer have the opportunity to nominate someone.

If you would like to recognize someone through a nomination, please do so before submitting your registration.

Thank you!

*Nominee's First Name

Nominee's Last Name

Optional

*Nominee's Email Address

*Brief Description of the Nominee's Story and their Remarkable Resilience

Photography & Video Release Authorization

"During Reunification Day 2026, photographs and videos may be taken for Two-Lifestyles, Inc. organizational purposes, including event promotion, social media, websites, community outreach, and grant reporting.

By selecting 'I Agree,' I authorize Two-Lifestyles, Inc. to use photographs and videos featuring me and any minor children listed in this registration for whom I am the parent or legal guardian."

*Release Selection

I Agree - I authorize photography and video use.

I Do Not Agree - I do not authorize photography or video use.

*Photo

*Parent/Legal Guardian Full Name

*Signature

Reunification Day Registration 🤝🏽

🕊️ Free Admission for Families & Community Members

Primary Contact Information

Family Attendance Information

Community Outreach Information

Photography & Video Release Authorization