Clone of Family Journey Camp Out Application

Family Campout Application

To be filled in by Parent/Guardian, you will be considered the “primary contact” for all people in your family. If you need help filling out this application, please reach out to us at 360-358-3213 (call/text) or info@wildgrief.org.
Primary Contact Name*

First NameLast Name
Primary Contact Preferred Name
Primary Contact Pronouns
Primary Contact Email*
Primary Contact Mobile Phone*
Format: (000) 000-0000.
Best Other Phone
Format: (000) 000-0000.
Where does your family live?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list all additional adults that will be attending.
Please list all children that will be attending.
Is there anything you would like us to know about your family structure?
Which Family Camp weekends are you available for? (please check all that are possible for you)*

Saturday, June 20-Monday, June 22, 2026Saturday, July 11-Monday, July 13, 2026Either one
If you are available for both, do you have a preferred trip?

Saturday, June 20-Monday, June 22, 2026Saturday, July 11-Monday, July 13, 2026
Below are questions about the death and how your family is doing. These questions will help us provide the best experience for your family. There are no right or wrong answers, please be as honest as you can. This information is confidential and will not be shared outside of Wild Grief. We will be sharing it with the guides on your trip.
Who died, how did they die, and what was their relationship to you and your children?*
When did the death(s) occur? (approximate Month/Year)
Is there anything you'd like to share with us about your families' grief process? (what has been challenging, what has been helpful, etc.) *
What, if any, other grief support have members of your family done? (Example: Counselor, Peer Grief Support Group, other camps (Camp Erin), clergy, talk honestly with you, etc)*
Please share anything you’d like us to know about any personal identities and how we can help you and your family feel supported.
Does any family member have a disability or additional support needs we should be aware of?
If yes, is there anything you'd like to share about you or your child's disability and how we can make our programs more accessible to you?*
Anything else you would like to share about your family?*
Below are questions about the death and how your family is doing. These questions will help us provide the best experience for your family. There are no right or wrong answers, please be as honest as you can. This information is confidential and will not be shared outside of Wild Grief. We will be sharing it with the guides on your trip.
If you live in Washington State, what county do you live in?
What is the primary language your family speaks at home?
How did you first hear about us?*

CounselorWeb SearchFacebookInstagramOther Grief GroupPast ParticipantFriendFamilySpiritual/Religious CommunitySchoolOther
Race/Ethnicity of Participants
Gender Identity of Participants
Does your family qualify for any of the following benefits?

SNAP/Food StampsMedicaid/Apple Health/Provider OneTANFFree/Reduced School LunchI don't know if we qualify for benefits but we are low income.Other
Thank you for applying to join us in our Family Campout. We consider a variety of factors in filling our trips. Depending on when you apply, it may take a few weeks to hear back from us. Please reach out with any questions at info@wildgrief.org or call/text 360-358-3213.
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Family Campout Application