Camp Jamie Summer Workshops for Adults 2026 Registration Form

Camp Jamie Summer Workshops for Adults 2026 Registration Form

Please fill out this form to register an adult for the Camp Jamie 2026 Summer Workshop series. Please note: You can register for both workshops or just choose one and come back later to register for the other. IMPORTANT: This workshop is for all adults raising/supporting grieving children and teens. You or the child/teen you're supporting do not have to have participated in Camp Jamie previously.
Your name

First NameLast Name
Your Date of Birth

MonthDayYear
Your Preferred Name
Your preferred pronouns

Other
Name of Grieving Child or Teen you are raising/supporting

First NameLast Name
Your relationship to this Child/Teen.
Name of Additional Grieving Child or Teen you are raising/supporting

First NameLast Name
Your relationship to this Child/Teen.
Name of Additional Grieving Child or Teen you are raising/supporting

First NameLast Name
Your relationship to this Child/Teen.
Your Email Address
example@example.com
Your Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Can we text the number listed above? (For use on day of the event)
Which workshop(s) are you registering for?
Name of Deceased & When they Died
Example: Frank April 2025
Your relationship to deceased.
Example: Spouse, Parent, Sibling, Uncle/Aunt
Child/Teen's relationship to deceased
Example: Child, Sibling, Niece/Nephew, Grandchild
Please let us know what you hope to get out of this workshop.
.
Light snacks will be provided for this workshop. Do you have any dietary restrictions? Please list them below.
Please list any medical conditions, accessibility requirements, or other accommodations we should be aware for you to attend this two-hour workshop.
Should be Empty: