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Adult Registration Form

This form will take you 5-10 minutes. The information you share will help us provide the best experience you you at Camp HOPE. If you have any questions or concerns, please email or call our Executive Director, Maria Loy, at or (608)-621-0633.

Contact Information

*Email is the main source of communication between Parent/Guardian and Camp HOPE.

Camper Information

Select all that apply
Select all that apply

Information about the death of your loved one

Name, age, relationship to you, date of death, how the person died, and any other information you'd like us to know

The primary emphasis of Camp HOPE for adults is to provide an opportunity to share your experiences, make connections with others who have experienced similar losses, learn coping strategies and above all relax and enjoy nature. Camp HOPE and the programs presented are not intended to be used as a substitute for physician or psychiatric care. Participants understand that by enrolling they are agreeing to take part in the retreat voluntarily and remain responsible for their own physical and emotional choices. By signing this registration you are agreeing to release and hold harmless Camp HOPE and its representatives from any and all liability. All information is confidential.