Camp Hope Summer Registration Form
Join us at Camp Hope, a FREE grief support camp. Children who are entering 1st-7th grade in fall of 2025 are eligible to participate. Our activity-based camp will help children work through the feelings and issues that arise after the death of a loved one. Camp will be held 9 AM - 2PM July 15 -17th at Warsaw Community Church (1855 South County Farm Road in Warsaw, Indiana).  
    
***Transportation can be provided for your child(ren) only if they are Warsaw Community Schools students ***

Lunch and a free t-shirt will be provided to all those who attend.

Space for camps is limited and participants will be admitted on a first come, first serve basis. 

Registration deadline:
Warsaw Community Church - July 8th

Call 574-535-1000 with questions.  Hope to see you there!
Sign in to Google to save your progress. Learn more
Email *
Today's Date: *
MM
/
DD
/
YYYY
Parent/Legal Guardian First and Last Name: *
Relationship to Child(ren): *
Address: *
Phone Number: *
Email Address: *
Emergency Contact Name and Phone Number: *
Children who will be attending group: Please list: Name, Gender Identity, Date of Birth, Age, and Grade for each child. *
Camper's Shirt Size (Each child will receive a Camp Hope t-shirt!) *
Required
If "Other", indicate shirt size: 
Will your child(ren) need transportation to and from camp? *
If yes, please provide address for pick up and drop off. If it is the same as the home address, please put "Home Address". 
Current Medications and/or Allergies: Please list child's name and medications or allergies (add any explanations as needed.) *
Child(ren) health conditions that may affect participation:
Does your child(ren) have an IEP/504 Plan through the school or special needs? If yes, please explain further: *
How did you learn about Ryan's Place? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Carly's Team.

Does this form look suspicious? Report

Google Forms