Replanted

Group Registration

2023-2024

Welcome! We are so glad you're here! Replanted hosts monthly groups aimed at supporting families who are interested in or are currently involved in adoption, foster care, kinship care, and Safe Families. Through sharing our stories and experiences, and prayer, we aim to strengthen and encourage all participants’ lives. If available, childcare is provided by trauma-trained mentors. We ask that children come fed.

PLEASE READ:
Our Kick-off will take place on , from at . This group will then be meeting on the of each month from , beginning .

Please make a commitment to attend the group regularly and make the group a priority so that we can build deep, life-giving relationships with one another.

**Please note that if you register for a group, you are reserving a spot.

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"*" indicates required fields

Your Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

What church do you attend? (if applicable)

Family

Spouse's Name (if applicable)

First Last

Will your spouse be attending the group meetings (if applicable)?

Yes

Please tell us more about your family*

Check all that apply.

I/We have adopted domestically

I/We have adopted internationally

I/We are a foster family

I/We are a kinship care family

I/We are a Safe Family

I/We have begun the adoption process

I/We are interested in adopting but have not begun the process

I/We are interested in becoming a foster family

I/We are interested in becoming a Safe Family

I/We are parenting child(ren) with special needs

I am a single parent

I/We are parenting teens

How many children are currently in your care?*

Name(s) and age(s) of children attending the Replanted group*

Please ONLY register children who will be attending Replanted with you.

Is there anything you would like our childcare team to know about your child(ren)?*

e.g. allergies, sensory issues, special needs, etc.

Kickoff Event

When: from
Where:

How many adults will be attending the kickoff event?*

How many children will be attending the kickoff event?*

Commit to Attend

Because the Replanted Ministry works best in a small group community, there is a limit to the number of families who can participate in a group. For this reason, we ask that families who register for this group commit to attending each month so we can develop deep, life-giving relationships with one another (both parents and kids). **Please note that if you register for this group, you are reserving a spot. **Also, please note that our childcare team has received specialized trauma training for children impacted by adoption or foster care. We are eager to meet your child(ren)'s needs!

I agree to commit to my group for the ministry year:*

Yes

Release of Liability

Individuals within the leadership team of the Replanted ministry have put forth our greatest effort in securing competent individuals to fulfill the different roles within a Replanted Group. Volunteers have completed task-specific training to equip them with the skills necessary to fulfill the responsibility of their positions. While in good conscience we have done our best to provide a safe environment, we are requesting all participants read & sign this Release of Liability Form. Please be aware that signing up and participating in a Replanted Group, you will be expressly assuming the risk and legal liability and waiving and releasing claims for injuries, damages, or loss which you and/or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said program/activities. You recognize and acknowledge that there are certain risks in these activities and voluntarily agree to assume the full risk of any injuries, damages, or loss regardless of severity, that you and/or your child/ward may sustain as a result of participation. You further agree to waive and forever discharge the Replanted Ministry, including its officials, agents, volunteers, and employees from any and all claims arising out of, connect with, or in any way associated with these activities/programs.

I have read the contents of this release of liability and understand its contents. Checking the button below acts as my electronic signature.*

Yes; I release Replanted from any liability.

Will you consider giving to Replanted?

Replanted provides post-placement support to foster and adoptive families through our small group ministry and annual conference. Would you consider helping us bring even more support to families like yours through a one-time or recurring financial gift to support our programming? www.replantedministry.org/donate

Replanted Conference - October 13-14, 2023

Check out our upcoming conference for adoptive and foster parents. Join us in person in Naperville, IL or find a simulcast location near you. www.replantedconference.org

Group Registration

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Family

Kickoff Event

Commit to Attend

Release of Liability

Will you consider giving to Replanted?

Replanted Conference - October 13-14, 2023

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