Camp Good Grief

Dear Parent/Guardian:

We are looking forward to another great year at Camp Good Grief. Camp is open to children ages 6 through 13 who have experienced the death of a loved one. Our 2023 dates and locations are:

June 12 – 15 at Osborne Park in Huron
July 10 – 13 at Lakeview Park in Port Clinton
July 24 – 27 at Veteran’s Memorial Lake Park in Norwalk

Please complete one Camp Good Grief application and bereavement history form for each child. Once we have received and reviewed your child’s application, we will contact you to let you know if your child has been accepted and provide you with further details to assist you in preparing for camp. Space is limited and preference may be given for first time campers. Please contact bereavement coordinator Kathy Failor at 419.625.5269 or kfailor@steinhospice.org if you have any questions.

Sincerely,
Karen Hatfield
Director, Western Reserve Grief Services

Camp Good Grief Application

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  • Is this the child’s first time attending Camp Good Grief?
  • Select the T-shirt size
  • Parent / Guardian Information

  • Alternate Contact Information

    An Alternative Contact is an adult authorized to pick-up / drop off child.

    **Individuals dropping off and picking up children should be prepared to show identification if requested.

    IN AN EMERGENCY, THE CHILD WILL BE TAKEN TO THE NEAREST HOSPITAL

  • Is there anyone else permitted to pick this child up from camp?

  • Bereavement History

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  • Please enter a number from 0 to 99.
  • Medication Permission

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  • Media Release Form

    Images from Camp Good Grief (including camper artwork) will be used for camper activities, souvenir pictures, documentation of 2023 camp, and educational/promotional materials.

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  • Participant Waiver

    By signing below, I agree that my child (type name below), may participate in all Camp Good Grief activities at the location and dates below (choose one).
  • Type your child's name.
  • I understand that participation in the Program constitutes certain risks, and that injuries may occur. I voluntarily, knowingly, and intelligently recognize and accept any risk and agree to release from liability and to indemnify and hold harmless Stein Hospice/Hospice of the Western Reserve, its agents, assigns, or successors from all liability or claims, demands, damages and costs for or arising out of my participation in the Program whether caused by negligence or otherwise.

    I have read this waiver and understand all its terms.

  • Select Today's Date
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