Clone of Stay Connected with Camp HUG

1

Camp HUG helps children and families better understand grief through activities, support, and time with others who have experienced a loss.

Complete this short form to receive information about future camps, registration dates, and Camp HUG updates.

2

Parent or Caregiver Name* This field is required.

First

Last

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Area Code

Phone Number

5

Preferred Contact Method

Email

Phone

Either

6

What information are you interested in?* This field is required.

Future Camp HUG registration

General Camp HUG updates

Volunteer opportunities

Sponsorship or donation opportunities

Other

7

How many children may be interested in attending?* This field is required.

8

Age range of child or children* This field is required.

9

County or general area where you live

10

Is there anything you would like us to know, or any questions we can answer?Please do not include medical records, diagnoses, or other sensitive personal information.

11

I agree to receive emails from Peoples Hospice Foundation about Camp HUG, future registration opportunities, and related updates.* This field is required.

YesNo