Soul Harbour Ranch

A day out for Willow House families and community members to spend time with each other and therapy animals from 10:30am-12:00pm on Saturday, July 26th. Lunch will be provided!

Located at 22093 N Countryside Ln, Barrington, IL 60010

Registration is open for children between the ages of 3-28 whose parent or sibling has died and adults who are actively caring for a grieving child. We also are including those who are coping with suicide loss of any significant person or family member.

Registration

First Name

Last Name

Phone Number

Are you already a Willow House family (you completed an intake with one of our facilitators)? Please know that if you are not a Willow House family, we will be contacting you regarding next steps for an intake assessment to be able to participate.

YesNo

Additional Participants

First Name

Last Name

Age

Incoming Grade

First Name

Last Name

Age

Incoming Grade

First Name

Last Name

Age

Incoming Grade

First Name

Last Name

Age

Incoming Grade

Emergency Person (please include first and last name and phone number of local contact)

Contact Information