2026 Camp Hi Hope Registration Form
We look forward to hosting your awesome kiddo at Camp Hi-Hope this year. Please make sure to register each child separately who will be attending so we can appropriately prepare. Reach out to Aftercare@networkforhope.org with any questions you may have.
Please Complete the Following
*indicates required fields
Camper Name
*
Nickname
Date of Birth
*
-
Month
-
Day
Year
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Age
*
Please Select
6
7
8
9
10
11
12
Camper's T-Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Camper Swimming Ability (Please note all campers are required to wear life jackets provided by the camp, regardless of swimming ability.)
*
Non-Swimmer
Beginner Swimmer (can swim on front 20ft without flotation)
Advanced Swimmer (can pass swim test)
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.
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Adult's Information
Parent/Guardian
Parent/Guardian 1
*
First Name
Last Name
Relationship to Child
*
E-mail
*
example@example.com
Cell Phone
*
Format: (000) 000-0000.
Home Phone
*
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For attendees from the greater Cincinnati area, bus transportation is available at no charge, through Network for Hope and Executive Charter, Inc. If your child is in the greater Cincinnati area and would like to reserve a seat on the bus, please indicate here, as seating is limited:
Or enter N/A if not applicable
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Name of Donor
*
First Name
Last Name
Child's Relationship to the Donor
*
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Medical / Health Information
Does your child have any food, medication or environmental allergies?
*
Yes
No
Allergies? Check all that apply
*
Food
Medication
Environmental
Please list and explain any allergies
*
0/150
Does your child’s allergy/allergies require child care staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?
*
Yes
No
Does your child have a special health, medical, or behavioral condition?
*
Yes
No
Please explain
*
0/150
Will you be sending your camper with any medications?
*
Yes
No
If yes, please list all medications being sent with camper:
*
0/150
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Waivers
Camp Hi-Hope: Release, indemnification, and Hold Harmless Agreement
Understanding of Grief Support Professionals: Releasors acknowledge that Network for Hope has contracted with a licensed social worker from Kentucky Center for Grieving Children and Families to provide additional grief care on-site. They will be present to offer support as needed and to provide information pertaining to services and programs at Kentucky Center for Grieving Children and Families.
*
Please initial
Sign Document
*
Date Signed
*
-
Month
-
Day
Year
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