Free Registration

Reserve Your Spot

Admission is completely free — register below and we'll send your confirmation with a QR code for fast check-in.

Oct 18, 20262:00 PM – 5:30 PMGym Annex, Belleville IL

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No one under 18 without a parent or guardian present.

Gym Annex

4063 Frank Scott Pkwy W, Belleville, IL 62223

Belleville, IL 62223

Registration

General Admission — Free

Number of tickets

Adults attending

18 and older

Children attending

Under 18

Enter me in the Expecting Family Raffle

We're raffling baby & family essentials gift bags for expecting families and families with babies 0–12 months. While supplies last — check this box to be entered!

Zip Code *— helps us report the communities we serve to funders

A Few Quick Questions

Help us make the event better for your family. All optional unless marked.

Interested in free services at the event? (select all that apply)

✂️ Free Haircut

🩺 Free Physical / Health Screening

Does anyone in your group have special needs or require accommodations?

Sensory sensitivities, mobility needs, allergies, etc.

Any dietary restrictions or food allergies? (optional)

How did you hear about us? (optional)

Your Information

First Name *

Last Name *

Email Address *

Your confirmation code and QR code will be sent here.

Phone (optional)

Emergency Contact (optional but recommended)

Optional: Help Us Report Our Impact

This event is free because of grant funding. Funders ask us to report who we serve. All fields below are completely voluntary — "Prefer not to say" is always an option, and partial responses are fine.

Race / Ethnicity (select all that apply)

Approximate household income (optional)

Health insurance (select all that apply — optional)

Illinois Medicaid

Missouri Medicaid (MO HealthNet)

Other Insurance

📸 Photo & data consent

We may photograph this event and use anonymized attendance data in reports to sponsors and grant funders. Photos may appear on our social media and promotional materials.

1 × General Admission

Oct 18, 2026 · 2–5:30 PM

FREE

No one under 18 without a parent or guardian.

🎉

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