2019 Camp Good Grief Child Registration

 
June 1, 2019 - 10am to 2pm, at The Caring House
201 Longwood Drive SW Huntsville, AL 35801 

Camp is free to any child, 5 to 12 years old. A parent/guardian will need to complete registration prior to camp.
 
To register a child you can complete the basic information below. You will also need to print and complete the Waiver and Release below. If registering more than one child, please do a registration form and waiver for each child.
 
 
Please return forms via one of the following:
Email to: kim.oleary@hospicefamilycare.org
Mail To: 203 Longwood Drive SW Huntsville, AL 35801
Fax: 256-880-2929

If you cannot complete registration prior to May 30th or have any technical issues, please contact our Camp Coordinator, Kim O'Leary, at 256-650-1212 or at kim.oleary@hospicefamilycare.org to make other arrangements.
Basic Registration Form 
Child's First Name*
Child's Last Name*
Child's Date of Birth*
Child's Age*
Child's Gender*
Person(s) who died*
Relationship of the person(s) to the child*
Currently attending a Caring House group?*
Child's School*
Child's Last Grade Completed*
Ever Attended Camp Good Grief?*
Child's interests / hobbies (helpful for planning):
Physical Limitations:*
Food Allergies / Restrictions:*
Parent / Guardian's Name:*
Parent / Guardian's Address:*
Parent / Guardian's Phone Number:*
Parent / Guardian's Email:*
How many family members will return for closing ceremony at 2pm?*
Child's T-shirt size:*
Full Name of person(s) allowed to pickup. If blank, the person above must return by 3pm for pickup.