Love Family Adventure Planner

Growing Connection Through Love, Trust, and Meaningful Relationships

Thank you for your interest in the Love Family Experience. This experience is designed to help families strengthen relationships, deepen connection, build trust, and create meaningful memories through shared experiences centered on the Fruit of the Spirit: Love.

Family Information

Parent/Guardian First Name

Last name

Phone

Address

Number of Participants:

Ages of Participants:

Preferred Experience Date(s):

Preferred Location:

Home

Church

Community Location

Outdoor Setting

Why Love?

What drew your family to the Love Experience?

We want more quality time together

We feel disconnected from one another

We want to strengthen family relationships

We want to build trust

We want to create meaningful memories

We want to improve communication

We want to strengthen sibling relationships

We want to strengthen our faith together

Areas of Growth

Choose your top three:

Customize Your Experience

Building Connection

Love in Action

What would you most enjoy experiencing together?

What Would Success Look Like?

At the end of this experience, what would you most hope your family gains?

Experience Enhancements

Would you be interested in any of the following additions to your experience?

Shirt Sizes for all Participating Members

Additional Information

Is there anything you would like your facilitator to know before designing your experience?

Next Steps

Submit Your Experience Design Form.
A Rooted in Regulation™ facilitator will review your responses and begin identifying experience options that align with your family’s goals, interests, strengths, and needs.
Within 2-3 business days, you will be contacted to discuss scheduling, experience details, pricing, and any additional customization options.
Once your experience details have been finalized, an invoice and payment link will be provided to reserve your experience date.
After payment has been received, your personalized Rooted in Regulation™ Family Experience will be scheduled and prepared for your family.

Please Acknowledge

I understand that submitting this form is a request for a personalized Rooted in Regulation™ Family Experience and does not guarantee a specific date or reservation. A facilitator will review my responses and contact me regarding scheduling, pricing, and next steps.

I understand that a facilitator will contact me regarding scheduling, customization options, and payment before my experience is officially reserved.