Camp Good Grief Application

I/We, hereby give permission for our child, to attend Camp Good Grief on the designated dates
and times. We understand that the camp’s goal is to help facilitate the bereavement process of our child
and provide support for him/her in expressing feelings of grief.


In consideration of the above named child being granted permission by Hospice Care Options to attend
Camp Good grief:

I/We, for ourselves and on behalf of our child, release and discharge Hospice Care Options, their agents,
employees, volunteers, officers, directors, successors, and assigns [hereinafter known collectively as
“Hospice”] from all claims, demands, actions and judgements which I/We or my/our child ever had or now has or may have against Hospice for all personal injuries, either physical or emotional, known or unknown, and injury to property, real or personal sustained by my/our child’s person or property during his or her attendance of Camp Good Grief.


I/We give permission to the Camp Staff to provide follow up support to my child(ren)/ family following
Camp in the form of mail outs, phone calls or personal visits.


I/We give permission for my child(ren) to be transported to and from Camp should I not be able to provide
transportation and the Camp has arranged a willing party to provide transportation to the Camp.