Kinship Community Awareness Summit-September 3rd, 2025 Survey

1.First Name (Required.)

2.Last Name(Required.)

3.Title (i.e Ingham County Director, Wayne County Probate Judge, Kinship Advisory Council Member, etc)(Required.)

4.Organization Name (i.e. MDHHS Children's Services, Michigan's Children, Livingston Area Agency on Aging, faith organization, etc)(Required.)

5.Email Address (Required.)

6.Meal Selection (Required.)

Vegetarian Meal

Gluten Free Meal

Non-Vegetarian

7.Does your organization have a kinship program/resource/project that you would like shared at the summit?(Required.)

Yes, I would like to provide informational materials (flyers, brochures, promotional items, etc) to be added to attendees' folders. By selecting yes, I understand that the materials will need to be mailed to a Lansing address.

8.Given the goal and purpose of the summit, attendance will be limited to attendees who are either in a leadership position or recognized as a leader having an impact on kinship caregivers and kinship issues. I understand that I am not registered to attend this summit until I receive a confirmation email. Confirmation emails will be sent once a week (likely on Fridays) to new registrants until registration closes on August 29th.(Required.)

Yes, I understand

Send me a copy of my responses via email