Family Support Archives ⋆ Childrens Clinics in Southern Arizona

Community Circles: Mental Health and Emotional Wellbeing

Community Circles events provide an opportunity to connect with other families and learn about community resources. Hosted by Children’s Clinics and Care 4 the Caregivers.

Care 4 the Caregivers Logo

This event is part of a series focused on creating connections for children and families with disabilities and complex medical needs.

2027 topics planned:

Deaf, Heard of Hearing, Blind, Low Vision, DeafBlind
Neurodevelopmental Disabilities
Medically Complex and Medically Fragile
Rare Diseases and Chromosomal Conditions

Registration: Community Circles - Mental Health and Emotional Wellbeing

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Preferred Language*

English

Spanish

Other

Total Number of Attendees

Cleft Family Picnic

We are excited to celebrate our children born with cleft lip, palate, and other craniofacial differences at our first picnic! Where kids can do what they do best: have fun. Where parents can connect with others on a similar journey. Where new friendships begin!

Ramada 1 is ADA Accessible, has electrical outlets, 2 picnic tables, lights, BBQ grills, a drinking fountain, attached bathrooms, and is right next to the playground.

As there are only two picnic tables available, families should plan to bring chairs/picnic blankets.

Light snacks will be provided.

Register by Friday, October 9th

Registration: Cleft Family Event

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name of Children's Clinic Patient*

Total Number of Attendees*

Informed Consent to Photograph or Record | Cleft Family Event

Patients attending the event are invited to participate in a short video that will be used to help prepare future patients for their scoping procedures. Patients with a signed photo/video release are welcome to take part.

Children's Clinics Patient Name

I consent on behalf of the above-named patient to video recording by Children's Clinic staff.

I agree the resulting images or recordings may be used for Children’s Clinics publicity or marketing (brochure, pamphlet, bulletin board, display, informational video, magazine article)

I prefer to opt out of participating in this video on behalf of the above-named patient.

I understand I have the right to reverse this consent, in writing , at any time before the image or recording is used for the purpose(s) indicated above.

Name of Parent/Guardian or Legally Authorized Representative completing this form (or patient, if over 18)

Relationship to Patient

Signature of Parent/Guardian or Legally Authorized Representative completing this form (or patient, if over 18)

Date

Name of Witness to Signature

Signature of Witness

Date

Community Circles: Mobility, Physical and Orthopedic Disabilities – 9/18/26 EVENT CANCELLED

Community Circles events provide an opportunity to connect with other families and learn about community resources. Hosted by Children’s Clinics and Care 4 the Caregivers. This event is part of a series focused on creating connections for children and families with disabilities and complex medical needs. Register by Tuesday, 9/15 for September’s event.

Category: Family Support

Registration: Community Circles - Mental Health and Emotional Wellbeing

Registration: Cleft Family Event

Informed Consent to Photograph or Record | Cleft Family Event