Grief support

Camp Redwood

Albert and Ann Deshur JCC Rainbow Day Camp

Camp Redwood is for families who have experienced any significant death. All family members, infant through adult, are invited to attend this overnight camp. Camp Redwood provides a balance of fun activities, projects and learning about grief. Our goal is that the weekend’s activities will help family members heal and connect with each other and find comfort in connecting with other grieving families.

All adults attending the camp will need to complete and email the Camp Redwood waiver form to griefsupport@childrenswi.org prior to attending.

Camp Redwood waiver form

Date

Saturday, May 31 to Sunday, June 1

Time

Check in begins at 8:30 a.m. on May 31

Location

Albert & Ann Deshur JCC Rainbow Day Camp
W3985 Trails End Road Fredonia, WI 53021

Name

Phone number

Address

City

State

Zip

Email Address

Names of all adults attending and their email addresses (ex. John Smith - JSmith@gmail.com)

Please note: There will be a background check for all participants 18 yrs and older.

Names of children attending and age/grade (ex. John Smith age 12, Susie Smith age 14)

Emergency contact

Relationship

Emergency contact phone number

Name of person who died

Age

Date of birth

Date of death

Gender

Please list any allergies, food restrictions/needs, accessibility needs or other special information that may be of help to the staff for both the child and adult:

Child

Adult

Are there any mental health issues that the facilitators should be aware of?

We will be taking the bus from Children’s Wisconsin to the camp Yes No

Please indicate number of T-Shirts needed for each size. If you do not need a certain size, leave blank.

Youth small

Youth medium

Youth large

Adult small

Adult medium

Adult large

Adult XL

Adult 2XL

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