The Invisible String

Camper's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone/Cell *

(###)

###

####

Camper’s T-shirt size *

YS

YM

YL

S

M

L

XL

Emergency Contact Phone *

(###)

###

####

Adult Session

A special session designed to help you understand your child’s grief will be held from 9 to 11:30 AM on the morning of the camp.

I will attend the Adult Session.

Other important changes in the camper’s life:

New Home

Marriage

Living with relative

New School

Divorce

Other

How did you learn about the camp?

Television

Counselor

Radio

Church

Newspaper

Other