Refer a Child to Camp Evergreen



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 2018

* Priority is given to first time campers. *

Please have all camper referrals made by:

July 27, 2018

Camp Evergreen Staff will mail applications to campers by:

July 30, 2018

Applications must be returned to Klamath Hospice by:

August 10, 2018

Camp Evergreen Camper Referral Form

    Camper Information

  • Loss Information

  • Parent/Guardian Information

  • Referral Source Information