Hospice of Helping Hands' Camp Warm Hearts

______________

2011 Business/
Organization
Sponsors

Warm Hearts Sponsor ($480)

Helping Hand Sponsors ($240)

Children's T-Shirt Sponsors ($100)

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Camp Warm Hearts is a weekend winter camp for children and teens, ages 5-15, who have experienced the death of a loved one. Hospice of Helping Hands and MidMichigan Home Care are bringing bereaved children and teens together to warm their hearts.

February 4, 5, and 6, 2011
The Springs Camp - Gladwin, MI

For more information
or to register, call
Hospice of Helping Hands,
800-992-6592.

To sponsor a child CLICK HERE!

Group/organization sponsorships CLICK HERE!

Camp Warm Hearts Referral Form
Registration Deadline is Wednesday, January 19, 2011

Name of Person Completing This Form		Phone Number of Person Completing This Form
Camper's First Name:		Camper's Last Name:
Birth Date: (01/01/1991)		Age:
Sex:	Male Female
Address:		Apt #:
City:		County:
State:		Zip:
Home Phone:
Grade in School:		School Currently Attending:
Adult Shirt Size:	Small Medium Large X-Large	Child Shirt Size:	Small Medium Large X-Large
Name of Parent(s):
Cell Phone:		Work Phone:
Email:
Has your child previously attended Camp Warm Hearts (CWH)?		Yes, child has previously attended CWH No, child has never attended CWH
Who was the family member or friend that died?
What were the circumstances surrounding the death?
When did the death occur?

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