Camp Comfort Interest Form
2023 Season
Thank you for your interest in Camp Comfort! This interest form is the first step in the application process. Upon submitting this form, you will be contacted by Ashley Collins (Camp Director) via email within 3 business days. The e-mail will come from acollins@mtevans.org, please be on the look out for it! For all families new to Camp Comfort, a brief intake phone call will be set up prior to sending the Full Camper Application. We look forward to supporting your family! **As of 6/8/2023, registration for our June camp is CLOSED and the July camp is on a waitlist**
*Please note: If your camper(s) has attended Camp Comfort two times, they will only be considered for the day camp this summer. Thank you for understanding!
How many campers are you wishing to register?
*
Please Select
1
2
3+
List the camper(s) first and last name and age. If registering more than one camper, put all of their names and ages here. We are accepting campers who will be ages 6 - 12 this summer.
*
Example: Mary Smith - 9, Joe Smith - 11
Has the camper(s) attended Camp Comfort before?
*
Yes
No
If yes, what year? If registering for more than one camper and one has attended prior and others haven't, indicate that here.
Camp Session Interest (For the Interest Form, multiple can be selected, however - campers will attend one session per year. Campers who have attended camp twice will only be considered for the day camp)
*
Weekend Camp: June 16 - 18 (**Registration for our June camp is CLOSED**)
Weekend Camp: July 7 - 9 (**Our July Camp is currently on a waitlist. You will be contacted in the event that a spot opens!**)
Day Camp: July 17 - 19
Undecided, more information is requested
Brief information about the person who died (relationship to the camper, cause of death, date of death)
Main contact person for the intake phone call & full application
*
First Name
Last Name
Contact person's relationship to the camper
*
Parent
Guardian
Counselor/Therapist/Caseworker
Other
E-Mail Address for Contact
*
example@example.com
Phone Number for Contact
*
Please enter a valid phone number.
Best time for a brief (5 - 10 minutes) intake phone conversation. (This only needs to be filled out by families new to Camp Comfort).
Morning (8 am - 12 pm)
Afternoon (12 pm - 4 pm)
Any time works!
Drawing Captcha: Click and drag to trace the image.
*
Submit
Should be Empty: