Refer a Child to Camp Evergreen

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Presentation1

Do you know a child who has suffered a significant loss of a loved one?  Camp Evergreen is a four day summer camp that provides a safe, healthy, supportive and accepting atmosphere for youth to share their experiences and feelings associated with the death of their loved one.  The camp is provided free-of-charge thanks to the support of our community.  Space is limited so each youth is screened by our Camp Counselor and priority is given to new applicants or those children who have a higher level of complicated grief.

Important for 2019

* Priority is given to first time campers. *

Applications must be returned to Klamath Hospice by:

July 5, 2019

Camp Evergreen Camper Referral Form

    Camper Information

  • Loss Information

  • Parent/Guardian Information

  • Referral Source Information

 

Verification