Youth and Young Adult Rites of Passage with the Earthlodge!
Welcome and Blessings from the Earthlodge Center for Transformation. We're so happy you're here. This form will register you or your youth for the Youth and Young Adult Rites of Passage that will run June 29th, July 1st and July 3rd 2026. 10am - 3pm each day.

Ages 7-11 on June 29th 
Ages 12-17 on July 1st
Ages 18-26 on July 3rd

It will include facilitated nature-based workshops for cultural, spiritual, and emotional development and enrichment.

Lunch will be provided for all sessions!

If you have any questions please contact Aleah Daniels aleahjevon@earthlodgecenter.org

Email *
Contact Information
Email *
Youth or Participant Name *
Parent/Guardian Name (if participant is under 18 years old)
Parent/Guardian Email (if participant is under 18 years old)
Emergency Contact (Name, Relationship, Phone Number) *
Address (including Zip Code) *
Participant Phone Number *
Put "N/A" if your youth does not have a phone number
Parent/Caregiver Phone Number (if participant is under 18 years old)
Participant Information
The following questions are about the Youth joining us. This is for internal use only at the Earthlodge so we can track the demographics of the group and adjust programming to best serve our participants. At the Earthlodge, we're inclusive of all expressions of humanity.
Age *
Pronouns
Gender Identity *
Ethnicity *
Which sessions will you or your youth be attending (10am - 3pm)? *
Required
Do you or your youth have any food allergies? Please specify.
Do you or your youth have any mobility issues or access needs? Or any medical or mental health issues which need support? Please specify.
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