Camp Good Grief Registration

2022 Provisions for Pandemic:  Camps participation is limited for each camp, so register early to avoid being put on a waiting list, first come first serve registrations.  First timers to camp will be given priority.  Cancelations of camps may occur if the pandemic is unstable at that time, notifications will be given.  Masks required at camp drop-off/ pick-up, and possibly at other times during the camp day. Social distancing encouraged.

Camp Good Grief Registration

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  • MM slash DD slash YYYY
  • Select the T-shirt size
  • Parent / Guardian Information

  • Alternate Contact #1 Information

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

  • Alternate Contact #2 Information

  • More Information

  • Is this the child’s first time attending Camp Good Grief?
  • Photo Consent

    I hereby grant to Stein Hospice and its legal representatives and assigns the right to use and publish information and photographs about my child who participated in Camp Good Grief for editorial and advertising purposes, including (check below all that you consent to). I hereby release Stein Hospice and its legal representatives and assigns from all claims and liability to said information and photographs
  • Parental Consent

    I give permission for my child to participate in Camp Good Grief, presented by staff and volunteers of Stein Hospice. I understand that if the Group Facilitators have, or develop, concerns regarding the appropriateness of my child for this group, those concerns will be communicated to me. If necessary, recommendations or referrals to other counseling professional will be explored.
  • Type your child's name.