Camper Information
What is your child's full name? *
Your answer
If your child goes by a nickname, what is it?
Your answer
Each camper is given a Camp Hope 'N' Cope t-shirt. What size would your child wear? *
What is your child's address?
Your answer
What is a good phone number to reach you? *
Your answer
What is your child's age?
Camp Hope 'N' Cope is for children ages 6-13.
When is your child's birthday? *
MM
/
DD
/
YYYY
What is your child's gender? *
If your child has any siblings, please list their name and age.
Your answer
What school does your child attend? *
Your answer
What grade is your child in? *
Who is your child's school counselor? What is their phone number?
Your answer
Has your child ever attended Camp Hope 'N' Cope in the past? *
If so, when?
Your answer
Has your child attended any bereavement camp in the past? *
If so, when and where?
Your answer
Has your child received grief counseling?
If so, please give place and date.
Your answer
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