Camper Registration - Hope with Heart, at Home!
Dear Campers and Camper Families,

We are sad that we won’t be able to have our usual Hope with Heart experience this year-but we are excited to bring you Virtual Camp! We miss you all, and want to stay connected. Please fill out the form below if you are interested in attending Hope with Heart, From Home!
Virtual camp dates
August 3 - 7, 2020

Application must be submitted by July 1, 2020.

For questions regarding the application process, please contact Alissa
directly at algg039@gmail.com
Camper Name *
Camper Nickname *
Date of Birth *
MM
/
DD
/
YYYY
T-Shirt Size *
Returning Camper *
Do you have access to the internet and a device with a video camera/microphone? *
Street Address *
City, State, Zip *
Diagnosis *
Parent/Guardian Name(s) - if not parent, please state relationship *
Day Phone *
Night Phone *
Cell Phone *
Preferred Contact Phone Number *
Required
Email *
Submit
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