Donor Family Gathering Registration

Event Registration

Your name(Required)

First Last

Number of Adults Attending(Required)

Number of Children Attending (10 and under)(Required)

Phone

Email(Required)

I am a (pick one):(Required)

Donor family member

Transplant recipient

Hospital partner

Loved one's name(Required)

Name of transplant center(Required)

Name of hospital(Required)

Please select the event you plan to attend:(Required)

Please note: You are welcome to join us for as many of these events as you would like. Please submit a separate RSVP for each picnic that you would like to attend.

Friday, June 12 – St. Cloud, MN

Sunday, June 14 – Sioux Falls, SD

Saturday, August 22 – Duluth, MN

Dietary restrictions

Please list how many attendees have dietary restrictions and indicate what those restrictions are.

Photo Memory Buttons (Optional)

If you would like to have buttons made with your loved one’s photo to wear at the event and to have as a keepsake, please upload your image here so that we may make buttons for you prior to the event.

Would you like a photo memory button?

Yes, please make photo buttons of my loved one.

No thank you, I don’t want any photo buttons made.

If yes, how many buttons would you like?(Required)

Upload photo(Required)

Max. file size: 256 MB.