The Invisible String

Healing Hearts Grief Retreat for Teens
Saturday, Nov. 9, 2019
9 AM to 3 PM

 Application Deadline: Nov. 6, 2019

Camper's Name *
Camper's Name
Address *
Address
Phone/Cell *
Phone/Cell
Camper’s T-shirt size *
Emergency Contact Phone *
Emergency Contact Phone
Note: All medications must be given to camp medical personnel at check-in time. All medications must be in prescription containers and be listed above. Please be sure to apply sunscreen before arriving. By adding my name and date, I give permission for the medical personnel to administer prescription medications and/or first aid to my teen.
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.
Please help us plan for your teen by answering these questions.
Other important changes in the camper’s life:
Such as behavioral problems, fears, ADD, hearing/speech impaired, etc.
How did you learn about the camp?
NOTE: Videotaping and photography will occur during camp activities and may be used in future publicity. Please name your camper and yourself here to allow use of these images.