What We Do

Camp Erin Family Camp Registration

Camp Erin Family Camp 

This camp is for families who have experienced a COVID-19 death loss. "Family" is defined as at least one child age 6-17 and one adult caregiver.

Day: Saturday
Dates: October 8
Time: 10:30 a.m. - 4:30 p.m.
Location: Mourning Hope Grief Center

Application must be received by Friday, September 9.


Family Camp Registration Form

First Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
T-Shirt Size
Second Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
T-Shirt Size
Third Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
T-Shirt Size
Fourth Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
T-Shirt Size
First Name *
Last Name *
T-Shirt Size
First Name
Last Name
T-Shirt Size
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Cell Phone
Parent/Guardian/Caregiver(s) Employer(s)
Preferred method of contact:
Please confirm that your family has experienced a COVID-19 death:
The Camp Erin Family Camp is open only to those families who have experienced a COVID-19 death.
Is someone in your family who is attending camp a frontline healthcare worker?
Is someone in your family who is attending camp a member of the military?
Is English the primary language spoken in the home?
Name of person who died
Circumstances of death
Was there a funeral/memorial service?
If "Yes", did the child(ren) attend the funeral/memorial service?
Other changes in your lives
Does anyone in the family have a fear of and/or allergy to dogs?
There may be a therapy/comfort dog present at camp.
Does anyone in the family have food allergies/dietary restrictions? If so, who? Please detail the allergy/restriction.
If none, please write N/A.
Are there other health concerns or restrictions we should be aware of? If so, please detail here.
If none, please write N/A.
First Name *
Last Name *
This must be someone who is not attending camp.

Funding agencies often require nonprofit organizations to maintain client information related to gender, race, age and income level. The requested information is strictly for the purpose of Mourning Hope's compliance with these record-keeping requirements. Responses will remain anonymous, and are greatly appreciated.

Age of Participant(s)
Please check all that apply:
Race of Participant(s)
Please check all that apply:

Age of Participating Caregiver(s)

Caregiver #1
Caregiver #2 (if applicable)
My Child Receives Free/Reduced Lunch at School
By typing your name in the signature box, you are giving consent to participate. You will receive a separate consent form to complete related to online support groups. The term "electronic signature" means a method of signing an electronic message that identifies and authenticates a particular person as the source of the electronic message; and indicates such person's approval of the information contained in the electronic message.